Permission Slip - Ovens Valley Canine Club

Member/Parent/Guardian
Photograph/Website/Video/Facebook
Authorisation

Member/Parent/Legal Guardian *

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Member/Parent/Legal Guardian *

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Last

Name of Member *

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Last

Email *

Phone Number *

I agree to provide permission for the photographic, website, video, social media or any other form of electronic recording for use in the Club newsletter, website and social media, as well as any other media such as the local newspaper.
I acknowledge and agree that ownership of any photographic, website, video, social media or any other form of electronic recording be retained by Ovens Valley Canine Club Incorporated.
I authorise the use or reproduction of any recording referred to above for any reasonable purpose as indicated above, within the discretion of Ovens Valley Canine Club Incorporation without acknowledgment and without being entitled to remuneration or compensation.
I understand and agree that if I wish to withdraw this authorisation, it will be my responsibility to inform Ovens Valley Canine Club Incorporation committee of management in writing.

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