Media Consent

Privacy Notice: CHRC is collecting the information on this Consent Form in order to use Images and Recordings of you or the Children in Promotional Materials for CHRC and as otherwise stated above. This information will only be accessed by authorised employees within CHRC. Some of this information may be given to departments/ agencies, contractors, media, other agents and authorised users of the CHRC’s Multimedia Library for the purpose of using Images and Recordings of you and the Children in Promotional Materials. Your information will not be given to any other person or agency unless you have given us your consent, or we are required or permitted by law.

Collectively referred to as ' the children'

I declare that I am the parent/legal guardian of the child listed above.
agree to Central Highlands Regional Council, its employees, officers, agents and contractors (‘CHRC’)
making images or recordings, whether sound, digital or otherwise, of me and the Children (‘Images and Recordings’)
using, publishing or reproducing the Images and Recordings in any form (in whole or part) and by any medium, including but not limited to newspapers, magazines, brochures, television advertisements, promotional videos,
websites, the internet (including third party sites, such as social media e.g. Facebook, youtube, Vimeo etc.), CD-ROM or other multimedia, for public relations, promotions, commercial and advertising purposes (“Promotional Materials”)
and
retaining or storing the Images and Recordings (including those incorporated into promotional materials), in hard
copy or digitally, including but not limited to, deposit of the Images and Recordings into the CHRC multimedia library;
agree that the rights granted to CHRC under clause 2 of this Consent Form are perpetual and that I will not receive any
payment, royalty or other consideration (whether monetary or otherwise) from CHRC in connection with the making, use or
storage of the Images and Recordings;
agree to CHRC collecting, storing, handling, accessing, managing, transferring, using and disclosing personal information
about me and the Children, including but not limited to our name, details and image, in connection with the Images and
Recordings or the Promotional Materials;
acknowledge and agree that any Promotional Materials which refer to me and the Children, expressly or by implication, are, at
the date of publication, made in good faith and are not intended to defame or offend me or the Children or bring me or the
Children into disrepute and, to the best of the CHRC’s knowledge, are true and correct;
agree that CHRC is the owner of the copyright in the Images and Recordings and the physical Images and Recordings;
authorise any third party (third party partner) authorised by CHRC to use and reproduce the Images and Recordings in any
Promotional Materials, for an unlimited period, for the positive promotion of CHRC;
agree to release and indemnify CHRC and any third party from any loss, damage, cost, expense, or claim arising out of the
use, publication or reproduction of Images and Recordings or other information about me and the Children, including action for
defamation, libellous material, breach of privacy, or copyright; and
acknowledge I have read and understand this Consent Form and am signing this of my own free will.