CONTRIBUTORS RELEASE FORM

Student Name...

Address

Description of contribution

..

..

Date of contribution.

Name of Contributor

Address

Tel Nos (include mobile)..

In consideration of the student agreeing that I contribute to and participate in the

above project, the nature of which has been fully explained to me, I hereby consent to

the use of my image in the production of this text.

Signed by Contributor.

Date.

Signed by student ..