PARENTAL CONSENT FORM (Under 18s)

NAME OF PARENTS/CARERS Zoatkmerurkrk t+ Pavt

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NAME OF YOUNG PERSON DATE OF BIRTH:
Tommy Tregate (") lo Y)or
EMAILADDRESS: JZ therine Ereqate © Ymait:-com
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PHONE NO: EMERGENCY CONTACT DETAILS:

OM 7A3BS 74I571 ~ Racenenvd
SIAGO S8leas— Pave
YOUNG PERSON MEDICAL INFORMATION

ANY ALLERGIES:

ANY SIGNIFICANT MEDICAL/PERSONAL INFORMATION: KI JOR

+e IShrlonage Ve i Cal
DOCTOR SURGERY: Cicn Eno.
DECLARATION:

1. | agree that my child may participate in the activity.

2. | agree that my child is fit to participate and know of no medical reasons
or other reasons why he/she should not participate.
3. | consent to any emergency medical treatment that may be necessary if
the emergency contact cannot be contacted.
4. | understand that my child taking part in this activity, will do so at his/her
own risk.
5. lL agree that my child will comply with my activity provider’s instructions
whilst carrying out the activity.
 6. | accept that Weston College/........... ssevssssescaeseesessesacaeeecueeerentees 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
images/filmed footage of my child 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 my child
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 and/or promotional marketing material for the college.
By signing this document | agree for the Weston College Group to licence the
content and use the image/video taken, your childs name and (if applicable)
any agreed testimonial for the duration of the following (tick all that apply):

Prospectus (2 years) |
Posters (3 years) |
Website (5 years) CO
Social Media (permanently) EJ
Film (5 years) O
Adverts (3 years) Oo
Banners (5 years) © Co
News and PR (permanently) a

All of the above ine

Parents/Carers Signature: oR Date: ZF / y) at