Title Page

  • Site Location

  • Department Using Material

  • Subject (Person) of Photo/Media Content

  • 1. agree to Fish'N'Flips, its employees, officers, agents and contractors (a) making images or recordings, whether sound, digital or otherwise, of me and the Children (“Images and Recordings”); (b) using, publishing or reproducing the Images and Recordings in any form (in whole or in part) and by any medium, including but not limited to newspapers, magazines, brochures, television advertisements, promotional videos, websites, CD-ROM or other multi-media, for public relations, promotions, commercial and advertising purposes (“Promotional Materials”); and (c) retaining or storing the Images and Recordings (including those incorporated into Promotional Materials), in hard copy or digitally, including but not limited to, deposit of the Images and Recordings into an Image Library;

  • 2. agree that the rights granted to FnF in this Photo Consent Form are perpetual and that I will not receive any payment, royalty or other consideration (whether monetary or otherwise) from the company in connection with the making, use or storage of the Images and Recordings;

  • 3. agree to FnF collecting, storing, handling, accessing, managing, transferring, using and disclosing personal information about me and the Children, including but not limited to our name, details and image, in connection with the Images and Recordings or the Promotional Materials;

  • 4. acknowledge and agree that any Promotional Materials which refer to me and the Children, expressly or by implication, are, at the date of publication, made in good faith and are not intended to defame or offend me or the Children or bring me or the Children into disrepute and, to the best of FnF’s knowledge, are true and correct;

  • 5. agree that FnF is the owner of the copyright in the Images and Recordings and the physical Images and Recordings; and

  • 6. acknowledge that a representative of FnF has explained the contents of this Media Consent Form to me and I am signing this Media Consent Form of my own free will, on the full understanding and comprehension of the terms of this Media Consent Form.

  • 7. To revoke permission to this form you acknowledge that you must email: marketing@cityvenuemanagement.com.au. Acknowledged.

  • FnF Representative / Witness

  • Signature

  • Parent/Guardian - Consenting Party

  • Signature

  • Signed On

  • Photo of Person (For Reference)

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