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Image Consent Form
I hereby grant
Root-and-Branch Out
CIC
permission to
photograph
and
/or
film
myself and/or children in my care (all named below)
, and to use and publish images and
film
footage of
the
named.
I further give my consent to
R
oot
-
and
-
Branch Out CIC
to
publish
,
republish or otherwise transmit the images in any medium for all purposes throughout the world.
I understand that I do not own the copyright of the photograph(s) and/or
film
footage.
I further release the
photographer
/videographer
and their direct or indirect licensees and assignees, from any claims for remuneration
a
ssociated with any form of damage, foreseen or unforeseen, associated with the use of the images.
*
Indicates required field
Name/s for image consent
*
AGREED BY PARENT / GUARDIAN
I am of legal age and have the full legal capacity to execute this
authorisation
without the consent or knowledge of any other person.
Name
*
First
Last
Email
*
Date
*
By submitting this form, you are providing consent.
Submit
Home
Projects
Growers Row
>
Children's Play Area
Growers Row First Year
Community Fridge
>
fridge
Souper Space
Forest School
D of E Awards
Lerntree
Magical Lantern Walk
Bookings
Join Us
Forms
Job Vacancy
Blog
About Us
Who are we?
Impact Reports
Policies
Aim & Objectives
Support
Contact
Subscribe