1. The Manchester College
RELEASE FORM
I___________________________________ OF ___________________________________
___________________________________
___________________________________
Programme(s): ……………………………………………(working title)
In consideration of The Manchester College filming me for inclusion in the Programme(s), I hereby
confirm:
I agree and consent to the filming and recording of me and my voice at The Manchester College’s
discretion and the use of this contribution (including any personal material such as photographs
supplied by me) in whole or in part or not at all. I irrevocably grant The Manchester College all rights
and consents or waive the same so as to permit the fullest use throughout the world of this
contribution or any part(s) thereof in perpetuity by all means and in all media.
I warrant that the content of my contribution, and any other information I provide to The Manchester
College, shall be true in all respects to the best of my knowledge and belief and shall not contain
anything intended to bring The Manchester College into disrepute. I will advise The Manchester
College Ltd of any information which might call into question the integrity of the Programme(s).
I understand that my contribution and biographical material may be used for promotional purposes
relating to the Programme(s). I agree to make no comment to the media about the Programme(s) or
my contribution without The Manchester College’s prior consent. I certify that I am a UK citizen.
I hereby agree to the recording and/or broadcasting and/or live relay of the interview. The nature of
the Programme has been explained to me and I confirm that I am happy to participate in the
Programme by providing the interview which shall be factually true and an accurate representation of
your own personal circumstances and experiences
I hereby grant to you throughout the world:
All consents including without limitation consent under part II of the Copyright and Patents Act 1988
or any statutory modification or re-enactment thereof for the time being in force (“the 1988 Act”)
and assign all rights necessary for the broadcast, exhibition, reproduction, transmission and
exploitation of the interview by all means, formats and media without liability or acknowledgement
to me.
The right to issue publicity concerning the interview and for such purpose to use and reproduce your
name, photograph likeness and biography and recordings of your voice and the interview but so that
without your prior written consent such use shall not suggest that you endorse, recommend or use any
commercial product or service save any programme of film including the interview.
I confirm that I have no criminal convictions .I confirm that I am not aware of anything that could be
used to discredit me or the content of my interview or bring the credibility of the Programme or the
broadcaster into disrepute
This agreement may be freely assigned or licensed by us without your prior consent.
This agreement is to be governed by and construed in accordance with English law.
Signed_________________________________ Dated_________________
The Manchester College, Shena Simon Campus, Whitworth Street, Manchester M1 3HB