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TOP WHEEL
Please download, print off and sign this form if you wish to give us a clip of your film or permission to use an interview clip in one of our future programmes. We will show TOP WHEEL online and perhaps at a later date on television.
NAME:
AGE:
(if under 16 you must have a parent or guardian sign this form as well)
NAME OF PARENT/GUARDIAN:
I give permission to Freewheelers Theatre Company/TOP WHEEL to use my film/interview (delete as necessary) in part or in whole or not at all, at their discretion. I agree that it may be used on the internet and in other media in perpetuity.
SIGNED:
DATE:
SIGNED BY PARENT/GUARDIAN