If you are prepared to have your name used in association with the photographs, please tick the box below. I give my consent to the use of my name in association with the photographs. No, I do not give my consent to the use of my name in association with the photographs. Agreement I have read and understood this release form and agree to the terms as shown. (The form must be signed by a parent or guardian when the person concerned in this clearance is under the age of 18 years.) Your name Your address Signature Date
If you are prepared to have your name used in association with the photographs, please tick the box below. I give my consent to the use of my name in association with the photographs. No, I do not give my consent to the use of my name in association with the photographs. Agreement I have read and understood this release form and agree to the terms as shown. (The form must be signed by a parent or guardian when the person concerned in this clearance is under the age of 18 years.) Your name Your address Signature Date
community_grants_2014_15_information_kit.docx