Image waiver - Kōhanga Reo

Image waiver form - Kōhanga Reo

Please complete Te Kōhanga Reo National Trust's image waiver release form to grant permission for Kōhanga Reo and the Trust to use photos of mokopuna from your Kōhanga Reo.
Authorised Kōhanga Reo representative *
Te Kōhanga Reo ID*
Contact number*
Email address*
Please share in the comments box below, the occasion/hui/event or purpose of the image eg. Korowaitanga, birthday etc.
Please comment here
Please enter the occasion/hui/event or purpose of the image eg. Korowaitanga, birthday etc.

Declaration
I confirm that I have authority to provide this waiver for the mokopuna attending {teKohanga}.

I confirm that as a representative of {teKohanga}, I have personally obtained authorisation (verbal or written) from the parent / guardian or caregiver of each of the mokopuna listed in the field below.
Enter name of each mokopuna*
Please enter names of all mokopuna subject to this waiver.
On behalf of {teKohanga}, I am authorised to grant the Kōhanga Reo and Trust permission to use photos that feature mokopuna listed in this form in any of the following:
Intranet and communications (internal use)
Website (external use)
Print media (internal use)
Print media (external use)
On behalf of {teKohanga}:
I understand that at Kōhanga Reo or Trust held events or related activities, mokopuna listed in this form may be photographed or be recorded on video.
I agree to allow photos, video, or film likeness of mokopuna listed in this form to be used for any legitimate purpose by the Kōhanga Reo or Trust. Neither the Kōhanga Reo or mokopuna will receive any financial compensation, including any royalties arising from this.
I understand and agree that photographs / video or film likeness in the possession of the Kōhanga Reo or Trust are the property of the Kōhanga Reo or Trust.
I hereby waive the right to inspect or approve the photographs or video in which mokopuna listed in this form appears.

Authorisation
I Name* on this Date* declare that all information completed in this form is true and correct.
Use your mouse, electronic stylus or pencil to sign below. (Depending on your device).
Signature*

Clear
Review the form to ensure you have completed all relevant fields then click Submit.
Should be Empty:

Image waiver form - Kōhanga Reo