Documentary Consent Form
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1SCHOOL OF FILMMAKING
1533 S. Main Street
Winston-Salem, North Carolina 27127
DOCUMENTARY CONSENT FORM
Course Number and Name:
Production Title:
Prod. #
Producer:
Director:
This is to confirm that I,
give my full permission to
and the School of Filmmaking at the University of North Carolina
School of the Arts to use the interview that was filmed with me in a documentary film tentatively called
I also fully understand that
this film may be entered into festivals and shown widely outside of the UNCSA campus.
I understand that UNCSA will own all rights to the documentary film.
Name:
Address:
Phone:
Email:
Signature
Date
Date
Head of Production Signature
Date
Assistant Dean of Production
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