PERSON CONSENT FORM (over 18s) NAME: Hotty Taylor DATE OF BIRTH: 13/05/2008 EMAILADDRESS: yo \421$3@\clovd -com PHONE NO: 07 427551632 EMERGENCY CONTACT DETAILS: 07368 353590 MEDICAL INFORMATION ANY ALLERGIES: 10. ANY SIGNIFICANT MEDICAL/PERSONAL INFORMATION: gSkkma DOCTOR SURGERY: TLe-Milton surgey DECLARATION: 1. l agree to participate in the activity and | am over 18 years of age. 2. lagree that | am fit to participate and know of no medical reasons or other reasons why | should not participate. 3. I consent to any emergency medical treatment that may be necessary if the emergency contact cannot be contacted. 4. | understand that | am taking part in this activity at my own risk. 5. agree to comply with my activity provider's instructions whilst carrying out the activity. 6. . laccept that Weston College/... will not be held responsible for any injury, loss or damage to my property or myself during the activity. Dume Mouse venvurtions7. \give permission for any photographs or filmed footage of me to 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 or service. | agree that the images/filmed footage of me may be combined with other images, text and graphics, and cropped, altered or modified as needed. General Data Protection Regulation The content we are capturing will be used by Weston College Group for educational purposes only and/or promotional marketing material for the college. By signing this document | agree for the Weston College Group to license the content and use the image/video taken, my name and (if applicable) any agreed testimonial for the duration in the following (tick all that apply): Prospectus (2 years) Posters (3 years) Website (5 years) Social Media (permanently) Film (5 years) Adverts (3 years) Banners (5 years) News and PR (permanently) All of the above 8 Signature: Date: Z310\/ 2024 Pby\lor Director Name Signature: Awty/'7— Date: 23/0/24 | Qrew Taylor DumB Mouse peepecriogs |PERSON CONSENT FORM (over 18s) NAME pe (apd lo DATE OF BIRTH: Wet hocg EMAIL ADDRESS: Ty A 7q pully, Goukorle 277 PHONE NO: (7590 Ht] 2D y EMERGENCY CONTACT DETAILS: MEDICAL INFORMATION ANY ALLERGIES: ho ANY SIGNIFICANT MEDICAL/PERSONAL INFORMATION: NZ DOCTOR SURGERY: nila Sb Y DECLARATION: 1. | agree to participate in the activity and | am over 18 years of age. 2. | agree that | am fit to participate and know of no medical reasons or other reasons why | should not participate. 3. I consent to any emergency medical treatment that may be necessary if the emergency contact cannot be contacted. 4. | understand that | am taking part in this activity at my own risk. 5. | agree to comply with my activity provider's instructions whilst carrying out the activity. 6. | accept that Weston College/... held responsible for any injury, loss or damage to my property or myself during the activity. . will not be pumMe Mouse7. \give permission for any photographs or filmed footage of me to 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 or service. | agree that the images/filmed footage of me may be combined with other images, text and graphics, and cropped, altered or modified as needed. General Data Protection Regulation The content we are capturing will be used by Weston College Group for educational purposes only and/or promotional marketing material for the college. By signing this document | agree for the Weston College Group to license the content and use the image/video taken, my name and (if applicable) any agreed testimonial for the duration in the following (tick all that apply): Prospectus (2 years) o Posters (3 years) oa Website (5 years) oO Social Media (permanently) EJ Film (5 years) Adverts (3 years) Banners (5 years) News and PR (permanently) 1 All of the above Signature: Lup Date: 2#Velp Director Name Signature: Date: 23/01/24 Drew Taylor a DUMB MMOuse peonecriogs