Photo Permission Form

codergirl hackday logo

Parental/Guardian  Photo Permission Request Form

We are presenting you with this parental consent form to both inform and request permission for your child’s photo/image to be taken while attending at Coder Girl Hack Day. The photo may be republished on ______ Internet sites and social media channels, and _____ Facebook page.

 NO personally identifiable information such as name, residential address, e-mail address, or phone numbers will be published.

I grant permission for this student’s photo/image to be republished on the company’s Internet site and social media channels.

 

Child’s Name: (please print)  ___________________

 

Parent/Guardian Signature___________________

 

Print Parent’s Name___________________

 

Date___________________

Thank you.

 For any further queries on this request please contact in Niambh Scullion:

_______

TITLE: Mentor and Co-Founder

Email: girls@coderdojodcu.com