2021 Gymnastics Queensland Event Photography Withdrawal Form

2021 Gymnastics Queensland Event Photography Withdrawal Form
Photography Policy and Media Release
Gymnastics Queensland advises that there may be Photographic images taken of Gymnasts, Technical Members and the audience at our events by GQ Event Personnel and official photographers. Gymnastics Queensland and/or their agents reserve the right to use images from these events in publications and promotions and for sale in DVD, video and still photograph formats.

Anyone who does not wish to be photographed or filmed must complete this form 2 weeks prior to the event. Event staff should also be notified on the day of competition.
Athlete Information
Athlete Name *

First Name Last Name
Athlete Registration Number *
Event athlete is competing in *
Gymsport *
Level of Athlete *
Parent/Guardian *

First Name Last Name
Relationship to Athlete *
Parent/Guardian Email *
example@example.com
Parent/Guardian Phone

Area Code Phone Number
Photography Withdrawal
Reason for withdrawing photography consent *
I acknowledge that by completing and submitting this form that no photographs will be taken of the above named athlete or the group in which they compete (if applicable) for the event listed above in 2021.
Signature *

Clear
Date *

Day Month Year
Date
Should be Empty:

Photography Policy and Media Release