Photograph Permission Document

PHOTOGRAPHING OF CHILDREN IN SPORTS CENTRES / SWIMMING POOLS

• The name, address and phone number of the person using the camera

• The name/s of the subject including contact details

• The relationship of the photographer and subject

• The reason or use the images are being or intended to be put to (e.g. family record)

• A signed declaration that the information provided is valid and that the images will only be used for the reasons given.

Print Name______________ Signed________________ Date______

Manager/Duty Manager Authorisation_______________ Date______

***Please hand this completed form in at the Sports Centre Reception desk***

• Copy to file
• Copy to customer