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Use of Media in School Promotion

I consent or do not consent to images of my child being used to celebrate achievements in school. This agreement will remain in force until it is cancelled in writing by me to the Headteacher. (Parents / Guardians should sign each of the boxes below as appropriate, and return to the school office).

Publication

I give my consent

I do not agree to this

School Prospectus School Newsletter Express & Star and Stafford Chronicle Staffordshire Newsletter Stafford Post SQ magazine (locally produced magazine about Staffordshire life) The Sentinel Television Broadcasts Radio Broadcasts Display boards within school Display boards connected with school activity outside of school School Website (The Internet) Videoing of School Productions / Concerts / Festivals

Name of pupil: …………………………………………………….

Form: …………………

Name of Parent / Guardian signing the form: ………………………………………………………………………… Relationship to pupil: ……………………………………………………………………. Date: ………………………………….


/BWH_MediaConsent