Photography Release Form (children under 16 years)

The Westside Vibe 2023

Fields marked with an asterisk (*) must be completed.

Child's Name

* Family Name:

* Given Name/s:

Parent/Guardian Details

* Family Name:

* Given Name/s:

* Postal Address:

* Suburb:

* Postcode:

* Email Address:

* Mobile:

Acknowledgement

• * I confirm that a representative of Hornsby Shire Council took a photograph and/or video of my child with my knowledge and consent

• * I give permission for Hornsby Shire Council to use the photo for promotional purposes which could include advertising, print collateral, on Council’s website, social media and supplied to media