CONTRIBUTOR’S
RELEASE FORM
NAME OF CONTRIBUTOR -
ADDRESS OF CONTRIBUTOR -
DESCRIPTION OF CONTRIBUTION -
DATE OF CONTRIBUTION -
CONTRIBUTOR CONTACT NUMBER -
I (NAME OF CONTRIBUTOR) AGREE TO CONTRIBUTE
TO AND PARTICIPATE IN THE ABOVE PROJECT, THE NATURE OF WHICH HAS BEEN FULLY
EXPLAINED TO ME. I HEREBY GIVE CONSENT TO THE USE OF MY IMAGE WITHIN THE
COURSEWORK PROJECT THAT WILL ALLOW ROSIE LINES TO ACHIEVE HER OVERALL FINAL
MEDIA A-LEVEL GRADE.
ALL IMAGES WILL BE SHARED WITH ROSIE LINES (STUDENT), MISS. MACDONALD (TUTOR), ROSIELINESMEDIAA2.BLOGSPOT.CO.UK
(BLOGGER), EXAMINING BOARD (OCR) AND OCR EXAMINER.
SIGNATURE OF CONTRIBUTOR -
SIGNATURE OF MEDIA A-LEVEL STUDENT -
DATE -
ADDRESS OF MEDIA A-LEVEL STUDENT -
MEDIA A-LEVEL STUDENT CONTACT NUMBER -
