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Permission Forms

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0% found this document useful (0 votes)
21 views

Permission Forms

Uploaded by

api-611449728
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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WI

WESTON oo
COLLEGE LOCATION PERMISSION FORM
Weston College Media Department request permission to use any footage
filmed at the following location:

LEQ. Long.cidt a llsh besten: Seatols lace, BS 2bdy


In any programme defined as broadcast or non-broadcast or for commercial
exploitation by the client.

Weston College Media Dept. undertakes to abide by any directions from the
management of the above location with regard to filming positions/health and
safety/audience safety.

Weston College Media Dept. undertakes to ensure that all filming will be
undertaken in a professional manner taking account of changes during the
shooting period as defined below:

Date of location shoot

Signed on behalf of Weston College

Date |

Vi/et M. 6/-4_?
Signed of behalf of above location

Position

pate |. Qe
PARENTAL CONSENT FORM (Under 18s)

NAME OF PARENTS/GARH=RS

M icaecce THOMPSON
NAME OF YOUNG PERSON DATE OF BIRTH:

(metse THoMeS OW /}-10- Aook


EMAIL ADDRESS: Bent Porcoen9_ 2 @ HoTmail.con)

PHONE NO: EMERGENCY CONTACT DETAILS:

O7T904 62YUY2E O7Sb6) 678ZI)


YOUNG PERSON MEDICAL INFORMATION

ANY ALLERGIES:
NONE
ANY SIGNIFICANT MEDICAL/PERSONAL INFORMATION:
SCOL 1051S.

DOCTOR SURGERY: 7/1 Tow KoAD, SuRGEY, MILTON KD WESTON ~S- MAKE
DECLARATION:

1. | agree that my child may participate in the activity.


2. l agree that my child is fit to participate and know of no medical reasons
or other reasons why he/she should not participate.
3. | consent to any emergency medical treatment that may be necessary if
the emergency contact cannot be contacted.
4. | understand that my child taking part in this activity, will do so at his/her
own risk.
5. | agree that my child will comply with my activity provider's instructions
whilst carrying out the activity.
6. Laccept that Weston Colle ge/..cccccesseeeseteseseenesaneseateces will not be
held responsible for any injury, loss or damage to my child or his/her
property during the activity.
7. | give permission for any photographs or filmed footage of my child to be
used by Weston College Media Department for publicity material
8. | hereby give Weston College my permission to license any
images/filmed footage of my child and use them in any Media and for
any purpose (except pornographic or defamatory) which may include,
among others, advertising, promotion, marketing and packaging for any
product or service. | agree that the images/filmed footage of my child
may be combined with other images, text and graphics, and cropped,
altered or modified as needed.

General Data Protection Regulation

The content we are capturing will be used by Weston College Group for
educational purposes and/or promotional marketing material for the college.
By signing this document | agree for the Weston College Group to licence the
content and use the image/video taken, your childs name and (if applicable)
any agreed testimonial for the duration of the following (tick all that apply):

Prospectus (2 years)
Posters (3 years) |
Website (5 years) |
Social Media (permanently) Ey=
Film (5 years) cir
Adverts (3 years) at
Banners (5 years) Cc
News and PR (permanently) MA

All of the above ae

Parents/Carers Signature: _2&f thaw fuer Date: 19 [ 4. [Body

Director Name ard) | © Thengson Signature:(/


Date: lq [4/2627
PERSON CONSENT FORM (over 18s)

NAME: DATE OF BIRTH:


MUCHELLE THomPsow OS
4 OF - 1/972
EMAIL ADDRESS:

Bu entieorconn Bz @ ermaic. Com


YOURPHONENO: OTGOY b2AUGAO
EMERGENCY CONTACT DETAILS:
O186/ = &792I/
MEDICAL INFORMATION

ANY ALLERGIES: / j4-e,

ANY SIGNIFICANT MEDICAL/PERSONAL INFORMATION: /A/OASE

DECLARATION:

1. | agree to participate in the activity and | am over 18 years of age.


2. | agree that | am fit to participate and know of no medical reasons or
other reasons why | should not participate.
. [consent to any emergency medical treatment that may be necessary if
the emergency contact cannot be contacted.
| understand that | am taking part in this activity at my own risk.
. |agree to comply with my activity provider's instructions whilst carrying
out the activity.
| accept that Weston College/....cccccsscsssssscscsssssecescsecsesenans will not be
held responsible for any injury, loss or damage to my property or myself
during the activity.
| give permission for any photographs or filmed footage of me to be
used by Weston College Media Department for publicity material.
8. | hereby give Weston College my permission to license any
images/filmed footage of me and use them in any Media and for any
purpose (except pornographic or defamatory) which may include,
among others, advertising, promotion, marketing and packaging for any
product or service.| agree that the images/filmed footage of me may be
combined with other images, text and graphics, and cropped, altered or
modified as needed.

General Data Protection Regulation

The content we are capturing will be used by Weston College Group for
educational purposes only and/or promotional marketing material for the
college.
By signing this document | agree for the Weston College Group to licence the
content and use the image/video taken, my name and (if applicable) any
agreed testimonial for the duration in the following (tick all that apply):

Prospectus (2 years) |
Posters (3 years) |
Website (5 years) cg
Social Media (permanently) EJ
Film (5 years) |
Adverts (3 years)
Banners (5 years) i
News and PR (permanently) Ci

All of the above <

Signature:
Date: _& Chow pser

/941
4 [20%
Director Name Brodit, Thanpy,q'snature.

mare |4 14. | Lod

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