DELETE AFTER READING: This form is for corporate staff (or third parties engaged by corporate staff)
taking photos or video of students for the purposes described in the form. If school staff (or third parties
engaged by the school) are taking photos, the school’s annual consent form will usually apply. When schools
are seeking consent for media and other organisations to photograph or video students at specific events,
they must use the ‘Template-Consent-Form-Specific-Event-and-Media-student’ found in the Policy and
Advisory Library.
Consent form – Student
Photographs and video for the Department of Education
We would like your consent to take photos and/or video of your child at [location] on [date] for
[program/event name and type, e.g. launch of X].
During the event your child may be photographed or videoed in activities such as:
interacting with other students or school staff in normal school activities
playing in outdoor or indoor settings
being interviewed about the program listed above.
[if activities are substantially different to above points please alter to be specific]
Consent is when you agree to something. You can only give your consent if you are the child’s
parent, guardian or carer.
You are giving us consent to use these photos or video:
on our website and social media (including those of the Victorian School Building Authority)
in information or advertising about the Department of Education
in newsletters or other communications to the public
on Ministerial and Members of Parliament social media accounts.
If you have any questions about this event, please talk to the organisers at the event or staff at
your kindergarten/school.
If your child is identified in these photos or video, it will be by first name only.
Your child’s privacy
The law says that photos or video of your child are their personal information. There are privacy
laws in Victoria that say how personal information can be used. We will follow these laws.
Find out more about privacy on our website at www.education.vic.gov.au or contact our privacy
team at
[email protected]What you are agreeing to?
When you sign this form, you are agreeing that:
you have read this form
you give us consent to take photos or video of your child
you understand that we may use the photos or video of your child in the ways we list above
1
your consent starts from the date written on this form.
Name of student
…Sunesh K…………………………………………………………………………………………
Name of parent/guardian/carer
…Kamalakannan J…………………………………………………………………………………
Relationship to student
……Father…………………………………………………………………………………………
Signature:
………………………………………………………………………………………………………
Contact of parent/guardian/carer
……9941420457……………………………………………………………………………………
Date
/
…20… …02… …24… /
Withdrawing your consent
If you want us to stop using the photos or video of your child, you must tell our Communications
Division at
[email protected] or staff at your kindergarten/school.
We will not use them again, but we may not be able to remove them from things that have already
been published.
Your details will be dealt with in accordance with the Public Records Act 1973 and the Privacy and
Data Protection Act 2014. Should you have any queries or wish to gain access to your personal
information held by this department please contact our Privacy Officer at
[email protected]
