HODDER RELEASE/CONSENT FORM GRANTING PERMISSION TO PUBLISH PHOTOS/USE VIDEO FOOTAGE Child’s Name "i Reon EWis Date of Photo/Video Shoot Ju - 03- 2022 Location Project ‘World Poetry Day Competition 2022 Please sign this document and return it on the day. Unfortunately, the shoot cannot take place without the signed form. a), Marve Mar the legal parent or guardian of the above named child hereby give my consent and exclusive rights to Hodder Education Group to publish and republish photographs and/or audio visual footage of my child and any adaptation or modification thereof in whole or in part (in colour or otherwise) on its own or together with any additional material of any type throughout the World in perpetuity, in all media and formats (including print and electronic/digital formats) and all forms of publication and communication. b) On behalf of myself and my child, | waive any rights that | may have to examine or approve the completed product or products (including without limitation, books, advertising copy or other printed or digital matter) in which (or in connection with which) any photograph and/or audio visual footage of my child may be used by Hodder Education Group). c) On behalf of myself and my child, | understand that Hodder Education Group is not obliged to make any use of any photograph and/or audio visual footage of my child.d) Hodder Education takes respon: for protection of the personal data provided by you on this form seriously. We will only use the data for the purposes of administrating the photo/video shoot and/or the Project and to contact you in connection with the photo/video shoot and/or the Project, and at all times in accordance with our responsibilities under applicable data protection laws (including the General Data Protection Regulation (EU) 2016/679 and the Data Protection Act 2018) and our privacy notice www.hoddereducation.co.uk/privacynotice). Hodder Educ: Group will not pass the personal details you provide to any third party and we will not use your personal details or the full name of your child in connection with any photograph and/or audio visual image of your child. e) This release represents the entire agreement between us in connection with the use that may be made of any photograph/audio visual footage of your child. Neither you, your child nor Hodder Education Group shall have any liability or remedy in respect of any representation, warranty or other statement (other than those set out in this release) being false, inaccurate or incomplete unless it was made fraudulently. ) On behalf of myself and my child, | confirm that | am over the age of eighteen and that | have read and fully understand the content of this release form. Signature of Parent or Guardian: _C\>=vie= en Date: \u— 03~ 2092 PrintName: MACeia Tat TARL Address: i UO Aeciee Telephone: t+ B2S- Sia rariapdtian 2.) (a) gmab - con ‘The Hocder Education Group isthe business dvision of Heder & Stoughton Limited, Rising Stare UK Limited and Galore Park Publishing Lid, which are al part ofthe Hachette UK Group of cornpanies. ‘© Hodder & Stoughton Ltd is a company registered in England under company number, 651682 with our registered address ot out below. ‘© sing Stars UK Limited is a company roaistored in England under company number, 4246700 wit our registered eddese ‘29 set out below.