Student Image Consent Withdrawal Form
By completing and submitting this Form to an AIF staff member, it confirms that I do not wish that AIF or those acting pursuant to its authority, use my imagery, content  and/or written or verbal statements at any time throughout my AIF experience.

Any questions, please contact the Administration Team at enrolments@fitness.edu.au
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Email *
Today's Date *
MM
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DD
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YYYY
Contact ID (if known)
Full Name *
Student Authorisation:
I DO NOT authorise AIF or any other party to use my image and/or statements in any marketing and promotional material and activities.
*
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A copy of your responses will be emailed to the address you provided.
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