Please check the boxes below to agree and grant permission for the use of your child's image in the following formats:
By submitting this form, you understand this permission signifies that photogrtaphic images/video of your child may be electronically displayed via the internet or in the public educational setting.
By submitting this form, you acknowledge that you have completely read and understood the above release and agree to be bound thereby. You hereby release any and all claims against any persons or organisation utilising his material for promotional or educational purposes.
You agree this permission will be valid until such time that your child no longer attends Family Day Care Services, or that a written withdrawal of the Media Consent is supplied.
Once this form is submitted you will receive an email confirming that Part A and Part B of your application has been received.
You will also receive a link to complete Part C of your application.