Photo Permissions Form - Mercy Catholic College Chatswood

Dear Parents and Carers,

At certain times throughout the year, our students may have the opportunity to be photographed or filmed for our College publications, such as the College’s newsletter or website and social media, or to promote the school in newspapers and other media.

The Catholic Schools Office (CSO) Broken Bay may also wish to use student photographs/videos in print and online promotional, marketing, media and educational materials.

We would like your permission to use your daughter’s photograph/video for the above purposes. Please
complete the permission form below and return to the school as soon as possible.

Thank you for your continued support.

Student Name*
First Last
Student Year Level*
Permissions*
for my daughter’s photograph/video and name to be published in: • College newsletter • College intranet • College website(s)/Catholic School’s Office Website • Social Media • College Yearbook • College promotional materials • Newspapers and other media/advertising & promotional materials • I authorise the CSO to use the photograph/video in material available free of charge to schools and education departments around Australia and for the CSO’s promotional, marketing, media and educational purposes. • I give permission for a photograph/video of my child to be used by the CSO in the agreed publications without acknowledgment, remuneration or compensation. • I understand and agree that if I do not wish to consent to my child’s photograph/video appearing in any or all of the publications above, or I wish to withdraw this authorisation and consent, it is my responsibility to notify the school. Licences under NEALS: The photograph/video may appear in material which will be available to schools and education departments around Australia under the National Educational Access Licence for Schools (NEALS), which is a licence between education departments of the various states and territories, allowing schools to use licenced material wholly and freely for educational purposes.
Name of Parent/Carer*
First Last
Signature*
Date*
MM slash DD slash YYYY
Name of Student
First Last
If your daughter is 15 years of age she is also required to sign & date the form.
Signature
Date
MM slash DD slash YYYY
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