Use of Student Image - Annual Opt-Out Statement

This form is OPT-OUT

Parents/carers should only complete this form only if you DO NOT CONSENT to Footscray High School using photos, video or recordings of your child in the following ways:

1. Use within the school community (eg in the school’s communication, learning and teaching tools, and on display around the school
2. Use in publications/locations that are publicly accessible (eg on the school’s website, on the school’s social media accounts, the school newsletter and in promotional material for the school)

You may choose to opt out of both or only one type of use.

If you have more than one child attending FHS please submit a separate form for each child.


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First Name of Parent / Carer *
Surname of Parent / Carer *
First Name of Student *
Surname of Student *
Campus *
Student Year Level *
Families of Year 6 students completing this form as part of transition please select 'Year 7'
Home group if known
I DO NOT CONSENT to Footscray High School using photos, video or recordings of my child in the following ways
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