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ensemble

Publication Consent Form

I, the undersigned,

______________________________________________________First name LAST NAME

Acting as the legal representatif of the child,

______________________________________________________First name LAST NAME

Hereby declare that Francophonia or any person on behalf of the society is authorized to
broadcast :

□ photos
□ audios
□ videos

• On Facebook :

https://www.facebook.com/groups/Professeurs.fle
https://www.facebook.com/portaildelafrancophonie/

• On Instagram :

https://www.instagram.com/francophonia.education/?hl=fr

• On the website : https://www.francophonia.com/

• As well as to distribute any type of printed material such as prospectus, posters,

articles, press packs, flyers...

I recognize being informed that I have the right to ask that my authorization shall be rectified,
updated or withdrawn.

____________________

Place of signature __________, date of signature _______________

FRANCOPHONIA SARL, 829 055 755 RCS Nice

www.universitesdefrancophonia.com - contact@francophonia.com
41, rue Gounod 06000 Nice, Alpes Maritimes FRANCE +33 4 93 16 02 44