Online Form - Media Authority Form

SWEK respects your rights to privacy and therefore seeks advance authority to include your name or photograph in these initiatives.
This form is the means by which that authority is obtained.

Note: In the case of persons under 18, this form must be accompanied by a signed letter of permission from their parent or guardian.

Contact Details

Full Name*

Company Name

Contact Number*

Email*

Authorisation

Which of the following options below do you allow SWEK to publish both digitally and in print*

Name
Picture
Photo Supplied by me

Do you give SWEK authority to publish your children’s name(s) or picture(s) for the above purposes (if applicable)

YesNo

Please note the following special requests (if any) in relation to this release and authority

Parent/ Guardian Approval Letter File Upload (if required)

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Please type your name below to signify that you agree that all information given above is true and correct at the time of submission*

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