ATTACHMENT 6: Special permission notice for publications/media

Use of photographs, digital recordings, film or video footage of children
in media, newspapers and publications, including any
service publication or media outlet

Dear _______,

The purpose of this letter is to obtain permission for your child to be photographed or filmed by  and for your child’s photograph, digital recording, film or video footage to appear in .

I, _____________________________________________________ , consent/do not consent to my child

________________________________________ (name of child)

being photographed or filmed by   and for my child’s photograph, digital recording, film or video footage to appear in the following publication and/or media outlet:  .

_________________________

Signature (parent/guardian)