Media permission form to complete - batod
Media permission form to complete - batod
Media permission form to complete - batod
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
British Association of Teachers of the Deaf<br />
Consent <strong>form</strong> for pho<strong>to</strong>graphic/media use<br />
(adult, child or young person)<br />
This <strong>form</strong> should be <strong>complete</strong>d for each pho<strong>to</strong>graph/media item that you are submitting <strong>to</strong><br />
BATOD. It gives consent <strong>to</strong> use a pho<strong>to</strong>graph that you may own and demonstrates the<br />
consent of the people included – or the person responsible for them.<br />
I, the undersigned, consent <strong>to</strong> pho<strong>to</strong>graphs and digital images, either owned by me or of the<br />
person(s) named, appearing in a BATOD (British Association of Teachers of the Deaf) publication<br />
or display. I understand that the images will be used for educational purposes.<br />
I acknowledge that the images may also be used in and distributed by media other than a printed<br />
publication such as, but not limited <strong>to</strong>, CD-ROM or the World Wide Web pertaining <strong>to</strong> BATOD's<br />
activities.<br />
I (name)<br />
of (address)<br />
Signed<br />
Date<br />
Please ask the parent of or adult responsible for any young person under 18 years <strong>to</strong> <strong>complete</strong> the<br />
following section. (You will need a separate <strong>form</strong> for each individual.)<br />
I<br />
(child or young person’s name)<br />
of (address)<br />
being the parent of or person responsible for<br />
agree that pho<strong>to</strong>graph and/or short video clips of my child or young person for whom I am<br />
responsible, can be displayed on BATOD's display boards or used in any other publicity, for<br />
example Magazine articles or on the BATOD website.<br />
Permission is given on condition that BATOD does not give anyone personal details of the people<br />
in the pho<strong>to</strong>graph unless I give my specific <strong>permission</strong>.<br />
Signed<br />
Date<br />
BATOD <strong>Media</strong> reference<br />
email: publishing@BATOD.org.uk BATOD Publishing and Advertising<br />
Website: http://www.BATOD.org.uk<br />
41 The Orchard, Leven, Beverley<br />
Answerphone/fax 01964 544243<br />
East Yorkshire HU17 5QA<br />
BATOD Magazine Edi<strong>to</strong>r, Paul Simpson, 21 Keating Close, Rochester, Medway ME1 1EQ 0845 6435181
British Association of Teachers of the Deaf<br />
If you submit several pho<strong>to</strong>s of a child and this <strong>permission</strong> covers all of the pictures please list each pho<strong>to</strong><br />
with its file name eg jonathan.jpg or 00123DSC34.jpg It is also helpful <strong>to</strong> have a small print of the pho<strong>to</strong>(s)<br />
being referred <strong>to</strong>.<br />
You may wish <strong>to</strong> suggest a title or a short explanation that could be used.<br />
Remember that the parent may have signed overleaf <strong>to</strong> say that no personal details will be given so they<br />
should agree <strong>to</strong> names being used and countersign the entry below.<br />
Pho<strong>to</strong><br />
Ref no<br />
Suggested title<br />
Any comment or explanation, names that may be<br />
used (and position)<br />
Please ask the parent of or adult responsible for any young person under 18 years <strong>to</strong> <strong>complete</strong><br />
the following section. (You will need a separate <strong>form</strong> for each individual and identify who they<br />
are in the picture.)<br />
I being the parent of or person responsible for<br />
(child or young person’s name)<br />
of (address)<br />
give <strong>permission</strong> / do not give <strong>permission</strong> <strong>to</strong> use the name of this young person.<br />
Signed<br />
Date<br />
BATOD <strong>Media</strong> reference<br />
email: publishing@BATOD.org.uk BATOD Publishing and Advertising<br />
Website: http://www.BATOD.org.uk<br />
41 The Orchard, Leven, Beverley<br />
Answerphone/fax 01964 544243<br />
East Yorkshire HU17 5QA<br />
BATOD Magazine Edi<strong>to</strong>r, Paul Simpson, 21 Keating Close, Rochester, Medway ME1 1EQ 0845 6435181