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~ PARENTAL CONSENT FORM (Under 18s)

NAME OF PARENTS/CARERS Mi CHEE THOM 2 SSO

NAME OF YOUNG PERSON - DATE OF BIRTH:

CCHMRE THOMPSON i [¢ 1d] aot


EMAIL ADDRESS: Busan OPER _a 6 HOTMAIL Con]

eke PHONE NO® - _ EMERGENCY CONTACT DETAILS:

NOTIO4 53426 - << Same


— | YOUNG PERSON MEDICAL INFORMATION re
| ‘ANY ALLERGIES: one

===. -ANYSIGNIFICANT MEDICAL/PERSONAL INFORMATION:”

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. |

General EData protection Regulation |

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) «@

_ -—Allof the above oOo

_Parents/Carers Signature:

Director Name Signature: —_---—— Date: | | ——


PERSON CONSENT FORM (over 18s)

NAME: _S | DATE OF BIRTH:


| phcHetLe VyeMmFS0rV/ 03-08 -/FI2Z_
EMAIL ADDRESS: vent PerCoren- 2 @Hotih7l -COM

YOURPHONENO: O790%% bALLIO


|EMERGENCY CONTACT DETAILS: Q

_ MEDICAL INFORMATION
ANY ALLERGIES:

a PEs a
ANY, SIGNIFICANT MEDICAL/PERSONAL INFORMATION: CAE OT OISEhI
| | | DirbEeTS
munee 'S C Laced >

-A lagree to participate in the activity and | am over 18 years of age.


mee nD) bagree that'Fam fit-to participate and know of no medical reasons or
es other reasons why | should not pa rticipate.
aoesBa consent to any. emergency medical treatment that may be
b e necessary if
the emergency. contact cannot be contacted. ie |
~ --4." | understand: that lam taking part in this activity at my own 1 risk.
~~ > <-5y Lagree-to: comply withmy activity provider’s instructions whi Ist carrying
out the. activity.
BLL accept that-Weston:n College/ sevsusueuaananes eessuaseecetsssvee ecsueates
—— will not be
~~ held responsible for any injury, loss or damage to my property or myself
during. the. activity. —
noe A EB IVE permission for any photographs or filmed footage of metto5 be
used by Weston College Media Department for publicity material.
8. | hereby give Weston College my permission to license any
images/filmed footage of me and use them in any Media and for any
purpose (except pornographic or defamatory) which may include,
among others, advertising, promotion, marketing and packaging for any
product | agree that the images/filmed footage of me may be
or service.
~ other images, text and graphics,
withined
comb and cropped, altered or
modified as needed.

General Data Protection Regulation

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 _

All of the above | |

SI gnat ure: :
-
Date:

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