Glasllwch Primary School • Melbourne Way • Newport • NP20 3RH / 01633 266398 /

DVD, Photograph & Video of Pupils

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    Dear Parents,

    Would you please fill in and submit this consent form so that we can keep this information on your child’s records.

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    I declare that I am the legal parent or guardian of the above child.

    I give consent for my child to be included in the following activity(ies): while they attend Glasllwch Primary School.

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    I understand that where I have indicated that my child’s dvd, photograph or video image may be used, this will be for school and curriculum purposes only and may be used for displays, promoting a positive image of the school, newsletters, press releases etc.

    My child’s name will / will not* be included in published images.

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