PROGRAMME TITLE: Channel 21 News
TX: ___________________________________________
Date of Recording: Friday 31st January
To:South Essex College, Luker Road , Southend On Sea
I confirm that I have agreed to appear in, to contribute to, or to participate in, the above recording as agreed with Channel 21 News
I agree to and hereby give all consents and permission and grant any licence that be required under any legislation or regulation to permit my contribution/performance to be used in whole or part in any manner by Channel 21 News in all media without restriction.
My contribution will be an honest and truthful account of my experience and I confirm that I have not misled Channel 21 News in any way as to my identity, experience, or as to the nature and/or content of my Contribution.
Name: Julie Smith
Address: 37 Bishopsteignton, Shoeburyness, Southend-on-Sea
Signed: J.Smith
Date: 31/01/14
Where the contributor is under 18 years of age, I confirm that I am the parent/guardian and agree my acceptance of the above on behalf of the contributor.
Signature: ___________________________________________
PROGRAMME TITLE: Channel 21 News
TX: ___________________________________________
Date of Recording: Friday 31st January
To: South Essex College, Luker Road , Southend On Sea
I confirm that I have agreed to appear in, to contribute to, or to participate in, the above recording as agreed with Channel 21 news Representative.
I agree to and hereby give all consents and permission and grant any licence that be required under any legislation or regulation to permit my contribution/performance to be used in whole or part in any manner by Channel 21 in all media without restriction.
My contribution will be an honest and truthful account of my experience and I confirm that I have not misled Channel 21 News in any way as to my identity, experience, or as to the nature and/or content of my Contribution.
Name: Darren Cox
Address: 2 Arundel Road, Rochford
Signed: Darren.C
Date: 31/01/14
Where the contributor is under 18 years of age, I confirm that I am the parent/guardian and agree my acceptance of the above on behalf of the contributor.
Signature: ___________________________________________
_________________________________________________________________________________
The MBG
PROGRAMME TITLE: Channel 21 News
TX: ___________________________________________
Date of Recording: Wednesday 29th January
To: South Essex College, Luker Road , Southend On Sea
I confirm that I have agreed to appear in, to contribute to, or to participate in, the above recording as agreed with Channel 21 News Representative.
I agree to and hereby give all consents and permission and grant any licence that be required under any legislation or regulation to permit my contribution/performance to be used in whole or part in any manner by Channel 21 news in all media without restriction.
My contribution will be an honest and truthful account of my experience and I confirm that I have not misled Channel 21 news in any way as to my identity, experience, or as to the nature and/or content of my Contribution.
Name: Laura Alison
Address: 105, Norsey View Drive, Billericay
Signed: L.A
Date: 29/01/14
Where the contributor is under 18 years of age, I confirm that I am the parent/guardian and agree my acceptance of the above on behalf of the contributor.
Signature: Cindy.Alison
PROGRAMME TITLE: Channel 21 News
TX: ___________________________________________
Date of Recording: Wednesday 29th January
To: South Essex College, Luker Road , Southend On Sea
I confirm that I have agreed to appear in, to contribute to, or to participate in, the above recording as agreed with Channel 21 News Representative.
I agree to and hereby give all consents and permission and grant any licence that be required under any legislation or regulation to permit my contribution/performance to be used in whole or part in any manner by Channel 21 News in all media without restriction.
My contribution will be an honest and truthful account of my experience and I confirm that I have not misled Channel 21 News in any way as to my identity, experience, or as to the nature and/or content of my Contribution.
Name: Ben Miles
Address: 56 Walton Gardens, Hutton, Brentwood
Signed: Ben.Miles
Date: 29/01/14
Where the contributor is under 18 years of age, I confirm that I am the parent/guardian and agree my acceptance of the above on behalf of the contributor.
Signature: D.Miles
PROGRAMME TITLE: Channel 21 News
TX: ___________________________________________
Date of Recording: Wednesday 29th January
To: South Essex College, Luker Road , Southend On Sea
I confirm that I have agreed to appear in, to contribute to, or to participate in, the above recording as agreed with Channel 21 News Representative.
I agree to and hereby give all consents and permission and grant any licence that be required under any legislation or regulation to permit my contribution/performance to be used in whole or part in any manner by Channel 21 News in all media without restriction.
My contribution will be an honest and truthful account of my experience and I confirm that I have not misled Channel 21 News in any way as to my identity, experience, or as to the nature and/or content of my Contribution.
Name: James Fallon
Address: 35 Walton Gardens, Hutton, Brentwood
Signed: J.Fallon
Date: 29/01/14
Where the contributor is under 18 years of age, I confirm that I am the parent/guardian and agree my acceptance of the above on behalf of the contributor.
Signature: _______________________________________
PROGRAMME TITLE: Channel 21 News
TX: ___________________________________________
Date of Recording: Wednesday 29th January
To: South Essex College, Luker Road , Southend On Sea
I confirm that I have agreed to appear in, to contribute to, or to participate in, the above recording as agreed with Channel 21 News Representative.
I agree to and hereby give all consents and permission and grant any licence that be required under any legislation or regulation to permit my contribution/performance to be used in whole or part in any manner by Channel 21 News in all media without restriction.
My contribution will be an honest and truthful account of my experience and I confirm that I have not misled East Coast Media in any way as to my identity, experience, or as to the nature and/or content of my Contribution.
Name: Ben Miles
Address: 56 Walton Gardens, Hutton, Brentwood
Signed: Ben.Miles
Date: 29/01/14
Where the contributor is under 18 years of age, I confirm that I am the parent/guardian and agree my acceptance of the above on behalf of the contributor.
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