give permission to Easts Leagues Club to photograph, video, voice record, and/or interview my child
give permission to Easts Leagues Club to photograph, video, voice record, and/or interview my child and use his/her image/photograph/video/voice recording (including still and motion formats)
school year level
in printed and digital materials and websites produced for Easts Leagues Club and related to Break the Ice, Youth Open Mic. Possible uses include, but are not limited to, brochures, posters, websites, social media, promotional videos and multimedia presentations. The materials may be used by media outlets.
I understand that:
the publication(s) may appear on the internet;
the publication(s) may appear in print, electronic, or video-media; and
the publication(s) may enable readers to identify my child and their school.
Important -please note:Although Easts Leagues Club will always endeavour to seek your permission and approval prior to releasing any information online, please understand that, if your child’s personal information (name, school or image), photograph, video, comments and/or voice recording is published on the internet, it will be accessible to millions of users across the world, that it will be indexed by search engines and that it may be copied and used by any web user, that his/her information can be searched for using an identifier such as the school name, and that your child’s information can be copied and used by any other person using the internet. Understand that, once your child’s personal information or comments has been published on the internet, Easts Leagues has no control over its subsequent use and disclosure. The information on this form is collected in order to obtain your consent to the publication of your child’s image, comments and information. The information collected on this form will be used for the purpose for which you have provided, and we will not disclose it without your consent, unless authorised or required by law.