Professional Documents
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DOCTOR SURGERY:
‘DECLARATION:
Bien er onthe a eee agree that my child may participate in the activity.
a |
ae et agree that my child is fit to participate and know of no medical reasons
ee =or-other reasons why he/she should | not participate.
cer
=i ssse3sc consent to-any emergency medical treatment t that may be necessary i
“eis oe _ the emergency contact cannot be contacted. —
Soo ar bundersta nd thatmy child taking part in this activity, will do so at his/her
own risk.
= eae agree that my child will comply with my activity provider s instructions
whilst carrying out the activity.
6. Laccept that Weston College /.......ssssssssseeesseseseeeeeeeeeserens 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
Sos cee ses =~ images/filmed footage of my child and use them in any Media and for
=.= any purpose (except pornographic or deta matory) which may include,
ee =a mong-others, advertising, promotion, marketing and packaging for any
Sos as a aaproduct or servicezlagree that the images/filmed footage of my child - -
SEES, TEAL are _smay: be. combined: with other i images, text and graphics, and cropped, |
oo - altered or modified as needed. |
2 no" Se <The content we are:capturing will be used by Weston College Group for .
~Jovia! ::erteducational purposes for the college. -
and/or promotional marketing material
-So= .aesceBy-signing-this:document agree for the Weston College- Group to licence the
=.) , our =content-and:use the image/video taken, your childs name and (if applicable)
See essay agreed testimonial for the duration ot the following (tick all that apply):
Prospectus (2years)
~ Posters (3 yea rs) - | | ma | oor ne
- Website (5 years) a os
Social Media (permanently) EX
Film (5 years) | EN :
| ‘Adverts (3 years) : fe
_=Banners (5 years) KT : a
News and PR (permanently) «@
_Parents/Carers Signature:
_ MEDICAL INFORMATION
ANY ALLERGIES:
a PEs a
ANY, SIGNIFICANT MEDICAL/PERSONAL INFORMATION: CAE OT OISEhI
| | | DirbEeTS
munee 'S C Laced >
SS ~The content we are captu ring will be used by Weston College Group for
2... educational purposes only and/or. promotional marketing material for the _
college.
one l sfco:By signing this document! agree for the Weston College Group to licence the |
-S=.=-==scontent and-use:the image/video taken, my name and (if applicable) any —
ip Se “scseagreed testimonial for the duration in the following (tick all that apply):
Prospectus (2 years) oo ;
| | _ oe ——
_ Posters (3 years) -
Fe _
: o~ a
Website (5 years)
Social Media permanently —_
Film (5 years) _ “ee 0 ayes, 10
Adverts (3 yea 78) ~ =a oon | ee SS oo
Banners (5 years) oo | Ce
News and = ietranenty Oo _
SI gnat ure: :
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Date: