Video Contest

Consent Form

Parental consent form

Name of Parent/Guardian

First Name

Last Name

Name of Minor

First Name

Last Name

Statement of Consent

I, as the legal parent/guardian, grant permission for my child to participate in the Waves of Change Video Contest, and consent to their appearance in photos/videos for public and/or educational purposes on our website and other WoC media.

Gender

(of participant)

Female

Male

Non-Binary

Other

School year

Statement of Responsibility

I declare that the uploaded video does not contain inappropriate images, language, offensive or objectionable material. I declare that the uploaded video does not contain copyright material. I declare that the uploaded video contains copyright material, however I have written consent from the owner. I grant the Waves of Change project team a royalty-free license to copy, distribute, modify and display the videos for public and/or educational purposes, in any media. (All must be TRUE for video submission to be valid)

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