Location Release Form.

SHOOT TITLE: RAF STENIGOT

DATE: 28th September 2017

NAME OF PRODUCER / DIRECTOR: Georgia Pearce

You have arranged to take photos of my location on 28/09/17, I agree to the recording and / or
broadcast of this contribution and hereby give all consents necessary for the reproduction,
exhibition, transmission, broadcast and exploitation of the contribution without time limit by all
means and media (whether now known or hereafter discovered or developed) without liability or
acknowledgement to me or Franklin college.

NAME AND SIGNATURE OF CONTRIBUTOR:

Georgia Pearce

___________________________________________________

Location Address & Contact number:

Manor Hill, Louth, LN11 9RH

07549011329