Media Consent

Wheelchair Sports NSW/ACT seeks to share participant stories, experiences, photographs, video and audio content to promote disability sport, recreation and inclusion. Please read the following consent statements carefully before signing.

Full name*

Email address

Suburb

Organisation

if applicable

Project or Event*

I hereby grant Wheelchair Sports NSW/ACT the absolute right to use the stories, quotes, audio and images resulting from interviews and photography/video shoots, and any reproductions or adaptations of the images for any purposes in relation to Wheelchair Sports NSW/ACT’s work including, without limitation, the right to use them in advertisements and other publicity materials, direct mail, books, newspapers, magazine articles, television programs and internet publications to promote and raise awareness of Wheelchair Sports NSW/ACT and its programs. I understand that Wheelchair Sports NSW/ACT will keep all images, audio recordings and story content and may use them for an indefinite period. I understand that I can withdraw my consent in writing at any time by emailing info@wsnsw.org.au. I acknowledge that any materials already published or distributed prior to the withdrawal of consent may continue to be used.*

Yes

Participant Name (or Parent/Guardian Name)*

Date*

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