Consent for Year 6 Leavers Book 2022
Please fill in this form to give or withhold consent for your child's name, photograph and comments to appear in the Year 6 leavers book. You will need your child with you as they need to answer one of the questions themselves. Thank you.

Deadline for completion: Monday 6th June 2022

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Email *
Pupil First Name *
Pupil Surname *
Class *
Do you consent to the inclusion in the book of an individual photograph of your child and photographs of your child taken during school activities, trips and events including yearly class and sports team photos? *
Do you consent to your child's full name appearing in the Year 6 leavers book next to their photo? *
Do you consent to the distribution, in the leavers book, of a CD containing photographs of your child during school activities, trips and events? *
Full name of parent providing consent *
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