Staff and Student Photography Consent Form ? Web viewStaff and Student Photography Consent Form. The…

  • Published on
    06-Jun-2018

  • View
    213

  • Download
    1

Embed Size (px)

Transcript

<p>Staff and Student Photography Consent Form</p> <p>Staff and Student Photography Consent Form</p> <p>The Northern Tablelands Local Land Services may take photographs of events and activities that include your students. Before we participate in an activity, can you please fill out this photography consent form and include the childrens names that have prior parental consent to have their photo used for promotional purposes. Please identify those students to Northern Tablelands Local Land Services staff at the activity.</p> <p>I (name) _________________________________________________________________________</p> <p>of (school name and address) _______________________________________________________</p> <p>_________________________________________________________________________________</p> <p>Telephone: _______________________ email: _________________________________________</p> <p>I agree for my photograph and photograph of the following students to be reproduced in print and electronic format by the Northern Tablelands Local Land Services.</p> <p>Students</p> <p>_______________________________________________________________________________</p> <p>_______________________________________________________________________________</p> <p>_______________________________________________________________________________</p> <p>_______________________________________________________________________________</p> <p>_______________________________________________________________________________</p> <p>I understand that:</p> <p> the photograph/s may be used more than once in a variety of Northern Tablelands Local Land Services publications, and in a variety of formats including printed publications and on the Northern Tablelands Local Land Services website.</p> <p> the photograph/s may be sent to media (e.g. newspapers) for publication of any type relating to any Northern Tablelands Local Land Services publicity material. This includes social media (e.g. Facebook). </p> <p> the full name of myself/my students may be used in some cases to describe the content of the photograph, but will only be done so at the discretion of the Northern Tablelands Local Land Services. </p> <p> neither myself/school/students will receive any royalties from the Northern Tablelands Local Land Services for the use of any photographs in which I (or my students) appear.</p> <p>Conditions/ limitations:</p> <p>My consent is subject to the following limitations (Please tick any/all that are applicable): </p> <p> None</p> <p> Cultural considerations, please specify: _______________________________________________</p> <p>_________________________________________________________________________________</p> <p> Other restrictions/ conditions (e.g. name NOT to be printed), please specify: __________________</p> <p>_________________________________________________________________________________</p> <p>Signature: Teacher ________________________________</p> <p>Date _________________________________</p> <p>Please return to Northern Tablelands Local Services Staff at registration at the Property Planning Competition field day.</p> <p>Privacy policy: Northern Tablelands Local Land Services respects your privacy and has adopted the National Privacy Principles. We will only use the information provided in this form for the purpose of processing your consent form. If you have any questions, please call the Communications Officer on (02) 6720 8317.</p> <p>Northern Tablelands Local Land Services A456600</p>