Withdrawal of Consent Form

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You have previously given consent for any photographs / video's of your child's photo taken during their time at Roding Valley High School being used for display around the school, the School Newsletter, other school publicity or in the local press.

By completing and submitting this form, you are requesting for the consent previously given to be withdrawn.

Email *

Please specify the name of the student *

Please specify the students Year group *

Year 7

Year 8

Year 9

Year 10

Year 11

Year 12

Year 13

Required

Please can you confirm your relationship to the student

Mother

Father

Parent/carer

I am the named student

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Please confirm below that you are requesting that the consent for the use of all photographs and videos of the above named student be withdrawn with immediate effect:

I can confirm that I am withdrawing my consent

Send me a copy of my responses.

Submit

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