GNSW Event Photography Withdrawal Form

2021 Gymnastics NSW Event Photography Withdrawal Form
Photograph Policy and Media Release
GNSW advises that there may be official still and video photographers at all GNSW events. Athletes and officials images may be captured at events, and names will feature in competition documents published on the GNSW website. The GNSW and/or their agents reserve the right to use images from these events in publications and promotions and for sale in DVD, video and still photograph formats.

Member clubs that have athletes or coaches who do not wish to be photographed or filmed must complete this form to notify GNSW. The form must be completed by the closing date of entries for the 2021 GNSW event. Event staff should also be notified on the day.
Club Information
Club Name *
Club Contact *

First Name Last Name
Club Contact Email *
example@example.com
Club Contact Number *
Athlete Information
Athlete Name *

First Name Last Name
Athlete iMIS ID *
Event athlete is participating in *
Gymsport *
Select the athlete's Gymsport
Level of athlete *
Parent/Guardian Name *

First Name Last Name
Relationship to Athlete *
Parent/Guardian Email *
example@example.com
Parent/Guardian Phone
Photography Withdrawal
Reason for withdrawing photography consent *
I acknowledge that by completing and submitting this form that no photographs will be taken of the above named athlete or the group in which they compete (if applicable) for the event listed above in 2021.
Name of person completing form and requesting withdrawal of consent. *

First Name Last Name
Relationship to athlete *
Date *

Day Month Year
Date
Optional additional comments
Should be Empty:

2021 Gymnastics NSW Event Photography Withdrawal Form

Photograph Policy and Media Release

Club Information

Athlete Information

Photography Withdrawal