FILMING RELEASE FORM

PRODUCTION COMPANY DEVILS AVALANCHE FILMS LTD4 Earlswood DriveAlderholtHampshireSP6 3EN Tel. 01425 650385

PRODUCTION THE SEASON OF THE WITCH (2009)Director: Peter GoddardProducer: Daniel Coffey

LOCATION Crowe Church/ Hollybush Cottage

DATE Saturday 22nd August/Sunday 27t h September 2009

SUBJECT FULL NAME ………………………………………………………………………..

SUBJECT ADDRESS ……………………………………………………………………….. ………………………………………………………………………..

………………………………………………………………………..

AGE ………………………………………………………………………..

I (the Subject) acknowledge by signing this form and, subject to restrictions stipulated and agreed, that I give up all claims of ownership, income, editorial control and use of the resulting video/images/sound and assign all copyright ownership to Visicom and Assigns.

I have read this form carefully and fully understand its meanings and implications and I understand that I do not own the copyright of the recorded material.

STIPULATED RESTRICTIONS ………………………………………………………………………

SIGNED SUBJECT ………………………………………………………………………..

PARENT/GUARDIAN ………………………………………………………………………..

SIGNED FOR PRODUCTION COMPANY ………………………………………………………………………..

DATE ………………………………………………………………………..