Balwyn Saints Cricket Club

Balwyn Saints Cricket Club
Junior Image Consent and Release Form
For Junior Players, Coaches and Team Officials
Balwyn Saints Cricket Club may, from time to time, take photographs or video recordings at cricket training, matches, presentations, club events and other cricket-related activities for club, coaching and promotional purposes.

Images or recordings may be used on the Balwyn Saints Cricket Club website, social media pages, newsletters, advertising and promotional material, publications and other official club communications. They may also be used for cricket skill correction, coaching and analysis in the FullTrack AI application.
Child/Young Person's Name

First NameLast Name
Team
Parent/Guardians Name

First NameLast Name
Parent/Guardians Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardians Email Address
example@example.com
I am the parent/guardian of the child/young person named above. I give permission to Balwyn Saints Cricket Club to take and use photographs and/or video recordings of my child for the purposes described in this form.

I understand that consent may be withdrawn by contacting the Club in writing by emailing childsafety@balwyncricket.com.au. I understand that Balwyn Saints Cricket Club will take reasonable steps to use images appropriately and in accordance with applicable Cricket Victoria child-safety requirements.
I am the parent/guardian of the child/young person named above. I give permission to Balwyn Saints Cricket Club to take and use photographs and/or video recordings of my child for the purposes described in this form.
I understand that consent may be withdrawn by contacting the Club in writing by emailing childsafety@balwyncricket.com.au. I understand that Balwyn Saints Cricket Club will take reasonable steps to use images appropriately and in accordance with applicable Cricket Victoria child-safety requirements.
Additional Notes
Detail any custody arrangements, restraining orders or other details that the Balwyn Saints Cricket Club should be aware of. In the event that there are custody arrangements or restraining orders or other details that the Balwyn Saints Cricket Club should be aware of, the club Child Safety Officer will need to sight any court documentation or confirm arrangements with both parents/guardians. If this is applicable please indicate below and the Child Safety Officer will get in contact with you
Signature
Parent/Guardian Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Junior Image Consent and Release Form

For Junior Players, Coaches and Team Officials

Additional Notes