Permission Form

Maxamount Productions Film Project Dear Parents, Guardians, and Participants, Maxamount Productions (also known as “Maxamount P”) is a group created by Rebecca Cairins and Erin Burden. It is a chance for young people to be involved in the creation of a short film created almost entirely by young people. The film is about alcohol abuse by teenagers, and is trying to convey the dangers of alcohol abuse and why it should not be practiced. It is a subject that has been shown to be of interest to young people. We hope to enter the finished film into the Edinburgh Film Festival, Young Directors Award, and Young Actor/Actress Award, and it is planned that any profit made will go to charity, hopefully one which deals with supporting teenagers who are affected by alcohol and drug abuse. Most of the filming will take place over the Summer holidays in 2009, but some days, at weekends, mainly, may be added if required. If you have any planned holidays (away from the local area) could you please inform us of the dates your child is unavailable, or if you are not yet sure, with as much notice as possible. Please note that the film is will not be a full length feature film—we are as yet unsure of it’s actual length. This is a completely non-profit venture, organised by teenagers. Places for the cast are limited and we cannot guarantee that everyone will be featured in the film, although other roles are also available, including technical support. Cast members must be reliable in their attendance, or must have a valid reason to be absent, and any person who misses more than three sessions (including rehearsals, meetings, and filming days) will be considered for replacement unless they have a valid reason to be missing, without notice. If notice is given, alternative days can be negotiated with the cast to change the day in question. Locations and filming schedule are as yet unknown, but once the cast has been confirmed, this should become clearer. We will issue all cast a schedule, and at least two weeks notice before filming on most occasions, exceptions may be particular scenes, for example, weather dependant scenes. Thank you for taking the time to read this; on the following pages you will find a “release form,” which must be signed in order for your child to participate, and allow that they may be legally filmed. Please complete the form, and return it via your child (or other means) to the issuer of the form, or the Maxamount P Administration team. We hope that you will allow your child to be involved in the project, and that they enjoy the experience. If you have any queries, please email at [email protected] Yours faithfully, Rebecca Cairns & Erin Burden

(Please retain this page for reference)

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Parental Release Form Definitions The participating young person is referred to as “the participant.” The parent or guardian of said young person is referred to as “you,” or “the guardian.” Maxamount Productions is here referred to as “Us”, or “Maxamount P” (1) Attendance You, the guardian give permission for the participant to attend filming sessions, meetings, and other related congregations of the cast and crew. The locations of such events will be detailed as they are decided, and sent to you when they are available. (2) Digital Recording You give permission for Maxamount P to photograph, film, and otherwise record in video and audio on any medium, the participant. You agree that any footage captured by us may be used as part of this project and ONLY this project, without your express permission. It may be distributed as a part of it but in no other context without prior permission. (3) Data Collection and Usage You agree that any and all data collected by Maxamount P will be used only for the administration and accreditation of the production, and in other uses relating only to the project—for example contacting the participant in case of schedule changes. The data will remain undisclosed to all other bodies under all circumstances within our control (exceptions are only circumstances beyond our control, for example the prevention or detection of crime). You, the guardian, and the participant have the right to access all records kept by Maxamount P and make modifications at any point. Data is stored in a secure facility, and can only be accessed by the Administration team for administrative issues. These rights are in keeping with the Data Protection Act 1998.

Signature of the guardian:

____________________________________ Date: _________

Name of the participant:

____________________________________ Date: _________

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Participant Information Form This is a standard document and is to provide essential information about each person involved in the project. Please complete the form below, and return it with a signed Release Form as soon as possible. Personal Details Full Name of Participant:

______________________________________________

Date of Birth:

________/________/_____________

Gender:*

Male / Female Contact Details

Home Address of Participant:

Postcode:

_________ ________________

Phone:

__________________________

Mobile:

__________________________

Email:

__________________________

Messenger:*

__________________________ (AIM/MSN/YIM/Other ___________)

Emergency Contact Details Please complete at least one of the contact columns in case we need to contact you urgently, with regards to the participant. Emergency Contact #1

Emergency Contact #2

Phone:

__________________________

__________________________

Mobile:

__________________________

__________________________

Email:

__________________________

__________________________

Address:

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Participant Information Form Feedback Where did you hear about us?

What is your area of interest? (e.g.: Acting, Production, etc...)

If you choose a technical roll, would you be interested in attending technical workshops?* Yes / No Medical Information Does the participant have any dietary requirements? Please give details:

Does the participant have any known allergies? Please give details:

Does the participant require any regular medication? Please give details:

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Holidays Please give details of holidays in Summer 2009 in as much detail as possible, this will help with scheduling. Contact us for any changes or updates to this as soon as possible.

In order that your application is accepted, please fill in as many, if not all of the fields to ensure a quick registration and a greater chance of being accepted. * Delete as appropriate. To the guardian: By signing below I agree that I have read and accepted the terms documented in this form, and completed the application accurately, and truthfully to the best of my knowledge, or have checked that the participant has done so correctly. To the participant: By signing I agree that the information on this form is valid to the best of my knowledge, and I agree to the conditions documented in this agreement. Signature of the guardian:

____________________________________ Date: _________

Guardian’s Name:

__________________________________________________

Signature of the participant:

____________________________________ Date: _________

Participant’s Name:

__________________________________________________ Official Use Only

Signature of Moderator:

__________________________________________________

Application:

_________/_______ Date: _________

Verification: -5-