Parental Consent Form

Name
Address
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Personal Information - Parent/Carer

Address

Emergency Contact Information

Medical Information

Confirmation of Registration of Child/Ward

Print Name
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Declaration of Consent

Consent
Consent
Consent
Consent
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LSFA Photography and Filming Consent Form

In accordance with our safeguarding policy, we will not knowingly permit direct photographs, video or other images of young people to be taken without consent*. If the child is under 18, consent must be obtained from a parent/carer. *Due to the nature of the sport, young people may be indirectly being in the shot of a photo or video/livestream of an event. Lagos State Football Association will take all steps to ensure these images are used solely for the purposes for which they are intended. If you become aware that these images are being used inappropriately, please inform us immediately.

Declaration of consent – Parent/Guardian of child under 18

I give permission for my child’s photograph to be used by the Lagos State Football Association for display purposes.
I give permission for my child’s photograph to be used within other printed publications.
I give permission for my child’s photograph to be used on the Lagos State Football Association website.
I give permission for my child’s photograph to be used on the Lagos State Football Association social media channels.
I give permission for video of my child to be used on the Lagos State Football Association website.
I give permission for video of my child to be used on the Lagos State Football Association social media channels
I give permission for video of my child to be used for training or analysis purposes and that the Lagos State Football Association may retaining the images indefinitely for future use.
I confirm that I have read, or been made aware of, how these images or videos will be stored Lagos State Football Association .
MM slash DD slash YYYY

Declaration of consent – Parent/Guardian of child aged 18 or over

I give permission for my child’s photograph to be used by the Lagos State Football Association for display purposes.
I give permission for my child’s photograph to be used within other printed publications.
I give permission for my child’s photograph to be used on the Lagos State Football Association website.
I give permission for my child’s photograph to be used on the Lagos State Football Association social media channels.
I give permission for video of my child to be used on the Lagos State Football Association website.
I give permission for video of my child to be used on the Lagos State Football Association social media channels
I give permission for video of my child to be used for training or analysis purposes and that the Lagos State Football Association may retaining the images indefinitely for future use.
I confirm that I have read, or been made aware of, how these images or videos will be stored Lagos State Football Association .
MM slash DD slash YYYY