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U16 Photographic & Film Consent Form

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Lollipop

84 Lowther Street

York

YO31 7LX

United Kingdom

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VERY IMPORTANT

Occasionally we like to record, film or photograph our events and activities. We may use some of this material to promote the work of Lollipop. Please complete the registration form to tell us if you give your consent to allow Lollipop to record, film or photograph your and/or your child/children’s image or voice.

It is very important that we have correct and up to date consent details for EVERYONE that attends Lollipop activities and events.


Please read carefully and complete every section that applies for your child/children and also for the parent/carer.


THIS FORM MUST BE COMPLETED BY A PARENT/CARER IF THE LOLLIPOP MEMBER IS UNDER THE AGE OF 16

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Date and Time

Location

Lollipop

84 Lowther Street

York

YO31 7LX

United Kingdom

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