Photography and Filming Consent Refused Form
Gateshead and Whickham ASC may wish to take photographs and videos of individual and groups of swimmers that may include you / your child during membership of the club.  All photographs and videos will be taken and published in line with the ASA Photography Policy.  These photographs and videos may be used for marketing purposes and in training sessions.

This form allows parents / guardians / swimmers the option to not allow Gateshead and Whickham ASC to use your / your child's photographs and videos in this way.  

The form should be completed by a parent / guardian if the swimmer is under 18.

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Name of swimmer *
Please tick each box that you DO NOT give permission for.   *
Required
Signature (this should be the parent / guardian if swimmer under 18).  Click the box to confirm electronic signature (this will be treated as a wet signature). *
Required
Date *
MM
/
DD
/
YYYY
Submit
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