Consent

Photography and filming consent form

At Pukekura Park Tennis Club we will not permit photographs, video or other images of young people to be taken without the consent of the parent if the child is under 16.

Pukekura Park Tennis Club will take all steps to ensure these images are used solely for the purposes they are intended. If you become aware that these images are being used inappropriately you should inform Pukekura Park Tennis Club immediately.

To be completed by parent/guardian *

I give permission for my child’s photo to be used within the club for display purposes I give permission for my child’s photo to be used within other printed publications I give permission for my child’s photo to be used on the club website/newsletters/social media I give permission for my child to be videoed for use on the club website/newsletters/social media

* Indicates required field

Name of parent/guardian *

First

Last

Name of child *

First

Last

Confirmation *

I confirm that I am the legal guardian of the child listed above

Submit