Photo Permission Form

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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___________________



Thank you.

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


TITLE: Mentor and Co-Founder