Release form

Date*

Day-Month-Year

First name*

Last name*

Email*

Position*

Company (The Producer)*

Address Line 1*

Address Line 2

Address Line 3

Eircode*

Date of filming*

Day-Month-Year

Will you be filming over multiple days?*

Please give details if multiple dates or days are required for filming

Please provide a short summary on what the filming is about.

Media (please list all media where the production will appear. E.g. Broadcast/Online/Cinema)*

Date of airing

Leave blank if TBC

Month/Day/Year

Please tick to confirm

I confirm that the above is an accurate description of the content and material that will be filmed at Griffith College’s Dublin campus. I confirm that I will provide a final draft copy of the content to Griffith College for review prior to airing. I confirm that I have production insurance in place for filming on campus and that Griffith College is indemnified as part of this. Where Griffith staff or students are recorded during filming on campus I understand that advance permission in writing must have been given by said staff/students.*