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Permission form A “Image release” At Shearwater, we take many

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Permission form A “Image release” At Shearwater, we take many Powered By Docstoc
					             Permission form A: “Image release”
At Shearwater, we take many pictures of the children during their camps, outings or
activities. We also film some of our most important events. These images are then
used for the purpose of School publications and promotions: the newsletter has many
pictures every week and we use some in our handbooks and website. The aim is to
make it easier for everyone to access relevant information through these and, at the
same time, to make these publications more attractive. In order to avoid any possible
disagreement over this matter, could you please make sure you have completed this
release form for every child at school.
                                                                        With Thanks
                                                         Stan Stevens, Administrator
____________________________________________________________________

I ............................................................. (full name of Student above 18 years of age)
I ........................................................... (full name of Mother/Guardian)
I ........................................................... (full name of Father/Guardian)
                                                                for children under 18 years of age

                  grant Shearwater, the Mullumbimby Steiner School,
              permission to take pictures of/film myself/my child/children
                        ............................................... (full name)
                        ............................................... (full name)
                        ............................................... (full name)
                        ............................................... (full name)
for the purpose of School publications and promotions given the following conditions
have been respected:
I understand that this promotion might be made online (as in the School or the
WAVE website), printed (as in newsletters or brochures) or extend to other media (as
in advertising for the School or articles about School events/achievements).
I also understand that neither further notice on the part of Shearwater, nor any further
permission is required to use such pictures/film, for the above promotional purpose
but that, should I wish to do so, I can send a written notification to withdraw my
consent at any time.
I am aware that Shearwater will always ensure
- the pictures used are respectful in their nature and appropriate/relevant to the
activity promoted
- that no link can be made between the image of myself/my child and his full name,
address, email, etc. in order to avoid any personal information being displayed or
accessed publicly
- I can gain access to my/my child’s personal information/images at all times.

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Description: Permission form A “Image release” At Shearwater, we take many