Media Consent Form - Petersham Bowling Club

 PERMISSION TO USE PHOTOGRAPHY AND VIDEO FOOTAGE FOR PETERSHAM BOWLING CLUB PUBLICITY BATTLE OF THE BANDS 2015 Petersham Bowling Club requests your permission to use video and photography taken at Battle of the bands – PBC on the 23rd of May, 2015. The video and photographs will be used by The Petersham Bowling Club for media, marketing and publicity purposes. Please fill in the permission form below. I _____________________ (full name) give permission for photograph/video of my family / photograph/video of my children to be used for media/marketing/exhibition / publicity purposes by The Petersham Bowling Club. I understand that the names of the people in the photo and video may be used in the publicity. Name ________________________ Signature ________________________ Date
________________________ Thank you for your cooperation.