Photo Consent Form - Feel the Magic

Parent / Guardian Information

Parent / Guardian Name*

First Name Last Name

Parent / Guardian Contact Number*

Parent / Guardian Email Address*

Relationship to Participant*

Names of all Participants Attending*

Feel the Magic Limited staﬀ and volunteers make every eﬀort to conduct safe programs, whether that be online or our physical programs such as Camp Magic. Risk management is an essential element of all the activities oﬀered. While we anticipate that these eﬀorts will ensure the wellbeing of each child, we are also aware that it is neither possible to foresee every contingency nor to eliminate all risk. Parent/Guardian acknowledgment I understand and acknowledge that program activities may include, but are not limited to, discovery of emotions that may not have been spoken about previously within the family unit; tools and activities that raise sensitive issues related to a child’s relationship to grief & bereavement; and discussions in a closed small group setting that are sensitive & raw. Other risks may be inherent in program activities. I acknowledge that such risks exist, and I hereby agree on behalf of my child to assume such risks. Further, on behalf of my child, I hereby forever release and agree to indemnify Feel the Magic Limited and its oﬃcers, directors, employees, mentors and volunteers and each of them, from and against any and all liabilities and obligations of every kind and description to the maximum extent permitted by law which I shall or may have against them or any one or more of them arising out of, or in connection with, my child’s participation in the Program. I understand and certify that my child’s participation in the Program and its activities is completely voluntary, and that I will become familiar with the program activities in which my child may participate through the parent/guardian workshop or from my own determination or discussions with Feel the Magic. I conﬁrm that I have read and understand this declaration, acknowledgment, release and indemnity and agree, on behalf of my child, to be bound by it and having done so, sign voluntarily.

Consent to Acknowledgement of Risk on behalf of all participants*

I agree to the above statement, Acknowledgement of Risk

By clicking "I agree to the above Acknowledgement of Risk, you are agreeing to this statement. If you do not agree please do not continue filling in this form and contact Nicole Suffling at nsuffling@feelthemagic.org.au

Audio/Visual Image Permission

Feel the Magic Limited uses images and sounds of family/children, staff and volunteers participating in programs as a way of documenting the enjoyable and educational experiences they have while exploring their grief together. Feel the Magic Limited will not identify my family/child, or will identify my family/child only by first name and program, unless I give specific written permission to do otherwise. In consideration of the above, I hereby consent to Feel the Magic Limited photographing, filming, and video-taping my family/child, and using and displaying images and sounds of my family/child in Feel the Magic Limited websites, archives, and promotional or information material, including but not limited to newsletters, brochures, advertisements, and newspaper articles, and I hereby waive and release on behalf of my family/child any rights of compensation for, or ownership of, such images and/or sounds of my family/child.

Specifically, I give permission for:*

Photos and/or video footage to be taken of my family/child by a mentor (being a volunteer who will serve as the child’s role model, supervisor and participate in all aspects of the program and/or program photographer during the program.

Specifically, I give permission for:*

Photos and/or video footage of my family/child being used in DVD/CD to be sent to all the participants and volunteers.

Specifically, I give permission for:*

Photos and/or video footage of my family/child being used in any program and/or Feel the Magic Limited promotional material or publications.

Are there any exclusions for the above permission?*

If YES please specify:

Any other relevant information*

If there is no other relevant information please enter N/A (not applicable)

Consent to Audio/Visual Image Permission on behalf of all participants*

I have read this wavier and agree to its terms and conditions.

By clicking "I agree to the above Audio/Visual Image Permission, you are agreeing that the information you are providing is true. If you have not consented to Feel the Magic's Audio/Visual Image statements, Feel the Magic understand and will not be published Audio/Visual or Images.

Code of Conduct

The behaviour and attitude of participants whilst at Feel the Magic affect the safety and wellbeing of all participants and volunteers. It is therefore essential that all participants attending the program understand our expectations and abide by our Code of Conduct. Please discuss and co-sign the following Code of Conduct with your child to ensure a common understanding between participants, volunteers and leaders during our program. Participation is dependent on this Code of Conduct being adhered to. Each participant is encouraged to participate in all activities and sessions throughout the program. Participants are expected to follow the principles of, Safety, Respect, Support, Responsibility Participants should Behave honestly and with integrity, Act with care and kindness, Behave and dress appropriately Participants should think and act safely, Put safety first in all activities, Listen and follow instructions, Do not use inappropriate language towards others, Do not use aggression or violence against others, Report any activity that doesn't meet the Code of Conduct. Participants should treat all individuals with respect, Treat everyone with courtesy, consideration and sensitivity, Respect others opinions, beliefs and grief journey , Show encouragement and support for fellow participants in times of need. Participants will be advised of general program rules at the beginning of the program. They will be reminded through the duration of the program. Non-compliance with the code of conduct and general rules could result in the participant being removed from the program at the leaders discretion.

I have read the Code of Conduct carefully and understand it.*

I am aware that not following the Code of Conduct will result in consequences, such as removal from the program for myself and or family

By clicking "I agree to the above Code of Conduct, you are agreeing to this statement. If you do not agree please do not continue filling in this form and contact Nicole Suffling at nsuffling@feelthemagic.org.au

Consent Date*