Image Release Form

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Image Release Form

This is an online permission/ release form for usage right of images.

Email *

Your name

Your mobile (optional)

I hereby grant permission to Australian Parents For Climate Action to use photographs and/or video of me and my family, taken on (enter date below) *

YYYY

Please enter location of where the photo/video was taken *

I understand that these photographs and/or videos of me and my family may be used in publications, news releases, online, and in other communications related to the mission of Australian Parents For Climate Action. I also understand that I may withdraw my consent at any time by contacting Australian Parents For Climate Action. I understand that I do not own the copyright in the content and will not receive any money or gift, now or in the future. *

YES

Thank you so much for helping us secure a safe climate future for our children.

A copy of your responses will be emailed to the address you provided.

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