Media release opt out form OUR FUTURE CITY

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MEDIA RELEASE - PHOTOGRAPH / VIDEO OPT OUT FORM From time to time Our Future City may take photographs of activities to use (without names included) in printed publicity, our website, social media and other media. A person/parent/carer may withhold permission to have their child or themselves photographed or filmed during Our Future City supported activities, learning experiences, public events, and/or media events. If you do not want yourself / your child to be photographed and/or filmed, please fill in the form below, sign and send back to us on the email stated below: DO NOT allow me / my child to be photographed and/or filmed during Our Future City activities and/or events. NAME:___________________________________________________________________________ CHILD’s NAME:__________________________________________________________________ EVENT / ACTIVITY NAME:_______________________________________________________ EVENT / ACTIVITY DATE:________________________________________________________ Signature [I am over 18] _________________________________________ Date ____________ Please note that some Our Future City events will have press / professional photographers or filmmakers present. In addition, at public events, audience members may take photographs and/or video.

Please complete all sections of this Opt-Out Form and return the signed form to Our Future City at least 2 weeks in advance of the event or activity, via email at: OurFutureCity@brighton-hove.gov.uk


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