Media Consent Form (Accept / Partial Acceptance / Decline) At certain times throughout the year, our students may have the opportunity to be photographed or filmed for our College publications, such as our newsletter, website, social media or to promote the College in newspapers and other media. Mt St Michael’s College may also wish to use student photographs/videos in print and online promotion, marketing, media and educational materials.

Our Privacy Policy may be found on the College website.

Media consent is to be completed for each daughter that you have at the college

Please be aware that your daughter will be asked to stand aside at photography or filming opportunities and may need to stand aside at group events and activities to ensure that they are not included in the shot.

STUDENT NAME: ________________________________________________ YEAR LEVEL: ____________

Please choose PARTIAL ACCEPT or DECLINE the event indicating the following:

ACCEPT / PARTIAL ACCEPT YES, I give permission for my daughter’s photograph/video and name to be published in the following areas only (Tick all that you give permission for): The College website

The College social media accounts

Promotional materials

Newspapers and other media

I understand that my daughter may be asked to stand aside at some photography or filming opportunities.

I authorise Mt St Michael’s College to use the photograph/video in material available free of charge to schools and education departments around Australia for Mt St Michael’s College promotional, marketing, media and educational purposes.

I give permission for a photograph/video of my daughter to be used by Mt St Michael’s College in the agreed publications without acknowledgement, remuneration or compensation.

I understand and agree that if I do not wish to consent to my daughter’s photograph/video appearing in any or all of the publications above, or if I wish to withdraw this authorisation and consent, it is my responsibility to notify the College.

Licensed under NEALS: The photograph/video may appear in material which will be available to schools and education departments around Australia under the National Educational Access Licence for Schools (NEALS), which is a licence between education departments of the various states and territories, allowing schools to use licensed material wholly and freely for educational purposes.

DECLINE NO, I do not give permission for my daughter’s photograph/video and name to be published in any channels. I understand that the only photos that will be taken of my daughter is her formal class photo and that she will be asked to stand aside at photography or filming opportunities.

Name of Parent/Guardian: _____________________________________________________________

Signature of Parent/Guardian: ___________________________________ Date: _______________

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