Media Consent Form for Furthering Talent Pupils

Name of Child *

First

Last

I give my permission for Bradford Music & Arts Service and Bradford Council to use the photography or video taken for Publicity and advertising materials, including printed publications. *

Yes
No

I give my permission for the charity, Awards for Young Musicians to use the photography or video taken for Publicity and advertising materials, including printed publications. *

Yes
No

I give my permission for Bradford Music & Arts Service and Bradford Council to use the photography or video taken for presentation and exhibition materials. *

Yes
No

I give my permission for the charity, Awards for Young Musicians to use the photography or video taken for presentation and exhibition materials. *

Yes
No

I give my permission for Bradford Music & Arts Service and Bradford Council to use the photography or video taken for websites, social media, email and other digital communications materials, including online advertising. *

Yes
No

I give my permission for the charity, Awards for Young Musicians to use the photography or video taken for websites, social media, email and other digital communications materials, including online advertising. *

Yes
No

I give my permission for Bradford Music & Arts Service and Bradford Council to use the photography or video taken for news media and their associated websites and social media channels including printed newspapers, magazines, television and radio. *

Yes
No

I give my permission for the charity, Awards for Young Musicians to use the photography or video taken for news media and their associated websites and social media channels including printed newspapers, magazines, television and radio. *

Yes
No

Name of person giving consent *

I understand that the image/s or video footage will be stored electronically in accordance with Data Protection laws and may be used for up to 5 years from the date of signing. I have the right to withdraw this consent at any time by writing to Bradford Music & Arts Service, 21 Market Street, Shipley, BD18 3QD or by emailing schoolsmusicandarts@bradford.gov.uk

Relationship to child of person giving consent *

Telephone Number *

E-mail *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Electronic Signature *