ºÝºÝߣ

ºÝºÝߣShare a Scribd company logo
Consent Form: 
My name is Charlie Hall and I am a Media Diploma Student at 
Long Road Sixth Form College. I am creating a documentary film 
and would like to film you for this. Therefore I would like you to 
sign this consent form. 
I Raymond Moonie agree to take part in the Diploma project stated 
above. I have had the project and process explained to me and I 
understand that agreeing to participate means I am willing to: 
I understand that my participation is voluntary; that I can choose 
not to participate in part or all of the project, and that I can 
withdraw at any stage. 
I give permission to be filmed by Charlie Hall for the use of a 
Media Diploma project. 
Name: Raymond Moonie 
Signed: 
Date:

More Related Content

Consent form

  • 1. Consent Form: My name is Charlie Hall and I am a Media Diploma Student at Long Road Sixth Form College. I am creating a documentary film and would like to film you for this. Therefore I would like you to sign this consent form. I Raymond Moonie agree to take part in the Diploma project stated above. I have had the project and process explained to me and I understand that agreeing to participate means I am willing to: I understand that my participation is voluntary; that I can choose not to participate in part or all of the project, and that I can withdraw at any stage. I give permission to be filmed by Charlie Hall for the use of a Media Diploma project. Name: Raymond Moonie Signed: Date: