Media Permission Form

							                 Media Permission Form

Dear Parent / Guardian,

The Department of Education has an Information Privacy and Security Policy
that requires schools to gain parental / guardian permission before using visual
images of students as photographs outside the school environment.

Point Peron Camp School uses images of students in a variety of ways to
recognise excellent achievement, inform parents and the local community of the
activities conducted at the camp school and to promote Point Peron Camp
School.

From time to time we may also be asked to contribute to Department of
Education materials such as educational videos and the “School Matters”
newspaper.

We request your permission to use any images of your child (names will not be
used) in some or all of the ways listed below.

        School website / videos / newsletters / magazines or any medium in
        relation to school activities.
        Promotional material for the Department of Education
        Articles for West Australian / School Matters / Community Newspapers

Please complete the permission slip below with the camp permission form.

Thankyou

Kerry Fitzgerald
Camp Manager
Point Peron Camp School

I give permission for Point Peron to use images of the students listed below.

Parent / Guardian __________________________________________________

Parent / Guardians signature __________________________________________

Students name ____________________________________________________

Club___________________________________________________________