CONSENT FORM TO USE AN IMAGE OR PHOTOGRAPH OF AN INDIVIDUAL or GROUP
I understand that images will only be used for the following purposes:
• Electronic and printed information, displays and exhibitions relating to the activity shown in the picture.
• Any similar campaign or related area
• Future Council Publicity
• With your consent full names may be supplied to the media

I understand that this image will NOT be used for:
• Anything which may be viewed as negative in tone or that may cause offence, embarrassment or distress, e.g. anything that may bring you into disrepute.

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Email *
Having read the statement above, do you give your consent for any image of your child to be used? e.g. on  the school website *
Having read the statement above, do you give your consent for any image of your child to be used on closed social media? e.g. SeeSaw *
Child/ Children's Name: *
Parent / Carer Signature *
Date *
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