Photo and Video Consent Form

CITY

YEAR

DATES

START & END DATE

ABC TEAM TRAVELLING TO {city} {dates17}

Dates: {dates18}

Parent or Guardian's Full Name

First NameLast Name

Email

example@example.com

Number of Athletes under your legal parental responsibility or legal guardianship.

1. Athlete's Full Name

First NameLast Name

2. Athlete's Full Name

First NameLast Name

3. Athlete's Full Name

First NameLast Name

I give permission to ABC coaches to take videos and photos during the TRIP.I DO NOT give permission to ABC coaches to take videos and photos during the TRIP.

Photography/Filming – Individual consent form

I consent to the Adelaide's Bouldering Club Inc. (“ABC”) using photographs and/or video recordings of me taken by ABC or by persons or organisations authorised on behalf of ABC for the purposes of internally and externally promoting ABC. These images could be used in any media (existing or later created or made available) including print and digital media formats such as print publications, prospectuses, brochures, websites, e-marketing, posters, banners, advertising, film, social media, teaching and research purposes.

I understand that images on websites can be viewed throughout the world and not just in Australia and that some overseas countries may not provide the same level of protection to the rights of individuals as AU legislation provides.

I understand that some images or recordings may be kept permanently once they are published and be kept as an archive of ABC life.

I agree that:

· I will not be paid a fee in respect of any use made of the photograph(s) and/or video recording(s) but have the opportunity of being involved in promoting ABC in the manner set out above;
· Copyright in the image(s) and/or video recordings will be retained by ABC; and
· ABC shall have the right to edit, modify, crop, add to or subtract from the photographs and/or video recordings at its entire discretion and without my approval.

I have read and understand the conditions and consent to my images and or video recordings being used as described.

Signature*

Date

Your rights

You have the right to request to see a copy of the information we hold about you and to request corrections or deletions of the information that is no longer required. You can ask ABC to stop using your images at any time, in which case it will not be used in future publications but may continue to appear in publications already in circulation.

You have the right to lodge a complaint against ABC regarding data protection issues with the Office of the Australian Information Commissione (https://www.oaic.gov.au/privacy/privacy-complaints).

Contact details
If you have any questions relating to this consent form, the way we are planning to use your information or relating to data protection please contact:

ABC GYM MANAGER
gym@aboulderclub.com