Photo, Video, Podcast and Social Media Release Form

I hereby give permission to Volunteering Queensland, its subsidiaries, affiliates, agents and successors the right and permission to record, use, publish, stream or otherwise distribute any photo, video or audio as well as any relevant personal information for publications and public relations. This grant of permission does not include the release of any personal information.

Materials may be:

• gathered as part of a promotional shoot for Volunteering Queensland activities, or
• provided by me, in all forms of media for once-only and/or ongoing promotion, publicity, information, advertising, trade, and any other lawful purposes, and
• shared with relevant third parties involved in the gathering and production of materials for promotional purposes only.

I understand that I also relinquish any right that I may have to examine or approve the completed product or products where my likeness may be included intact or in part; and, that I acknowledge that the use of my image and my participation in any promotional for Volunteering Queensland is undertaken without any financial recompense in the form of the royalties or similar payments.

I have read and understand this notice, and consent to the collection, use and disclosure as outlined.

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First name *

Phone

Last name *

Email

If you are under 18 years of age, please select the button below. A parent or legal guardian is required to complete this part of the form.

• I am under 18

Consent *

• I acknowledge that I have read and understood the above authorisation

Parent or guardian name *

Parent Consent *

• As the parent/legal guardian of the above individual, have read and understood this release and give consent without reservation, on their behalf

Your signature:

Parent or legal guardian signature:

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