Media Opt-out Form

Please fill in the following form accurately.

Parent/Guardian's Salutation:*
Parent/Guardian’s First Name:*
Parent/Guardian’s Last Name (Surname):
Email Address:*
Mobile Phone:*
Child’s First Name:*
Child’s Last Name (Surname):*
Child's Level:*
School:*
Intention To Opt-out Of All Media Publications
By ticking the following clause, we'll exclude your child from all photography events during our classes.
*
- I do not wish The Centre and its Staff to record their child’s image, work or voice for publicity, promotional, publishing or educational purposes.
Remarks:
Tick The Following Box To Show That You're Human:

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