CASTING PERMISSION SLIP

PERMISSION SLIP 2018

Child/Applicants Full Name:
Parent/Guardians Full Name:
Relationship to child:
Address:

Contact Phone Number:

Parent/Guardians email:

Thank you for submitting a video to ABC Children’s Television. The ABC will be using the video for the purposes of
casting for the upcoming productions, as detailed on the attached Casting Document. The ABC children’s television
team takes the privacy and protection of a child's information very seriously.

If you are happy to agree to the terms outlined in this consent form, please sign below.

I [name] the PARENT / LEGAL GUARDIAN [strike whichever is not applicable] of the
above-named child, grant to the Australian Broadcasting Corporation (the ABC) the right to use the audio and/or
visual recording of my child (collectively referred to as “the Recording”) for the purpose of casting for the upcoming
production undertaken by the ABC and the ABC’s authorised third parties.

The ABC may use and authorise the use of the Recording in whole or part, for the purposes of the casting process.
For further information in relation to the ABC’s privacy obligations, please refer to the ABC’s Privacy Policy located at
http://about.abc.net.au/abc-privacy-policy/.

I warrant that I am the parent or legal guardian of the above named child and that there are no restrictions that prevent
my child or I from participating or any restrictions that prevent me from agreeing to these terms, and that the consent
of no other person is required to enable the ABC to use the Recording. I release and indemnify the ABC, its
assignees, and licensees from and against any claims arising from any breach of this warranty and the exercise of the
rights granted herein.

SIGNED SEALED AND DELIVERED by the parent or legal guardian as a Deed:

Parent/guardian’s signature Witness’ signature

Print Name

Date

Required for ABC Office purposes only – this section MUST be filled in (by ABC staff).

PROJECT TITLE:………………………………………………… Project No:………………………

SIGNED for and on behalf of the ABC:
………………………………………………………………………………………. ….…………………………..
ABC Representative’s signature Date