Parental/Guardian Consent for Participation and Release of Materials for Council Use

Council is collecting the information contained in this form to verify your consent for use of the Materials. Your consent to the use of the personal information is required in accordance with the Information Privacy Act 2009.  The information privacy principles contained in this Act govern the collection, use, storage, security, and disclosure of personal information. Only authorised Brisbane City Council (Council) officers have access to this information which will be stored on a Council database. From time to time Council may provide some or all of this material to partly or wholly owned Council subsidiary corporations and entities, contracted Council suppliers or to media organisations for their use to promote Council programs, services and initiatives. Your personal information contained in this form will not be disclosed to any other third party without your consent, unless authorised or required by law.

If you have any queries about any privacy issues that relate to this consent form then please contact Council’s Information and Privacy officer on 07 3403 8888.

Who is a child? A child is defined as any person who has not yet turned 18 years of age.

Who is a person with a decision-making disability? For the purposes of this consent form, a person with a decision making disability is a person who cannot give consent because they lack capacity or have an intellectual or other impairment that affects their capacity to consent.  If a person is an adult and unable to give consent, an authorised decision-maker must give consent on the person’s behalf (see for example Powers of Attorney Act 1998 and/or the Guardianship and Administration Act 2000).

What happens to the consent form once it is filled out?  The consent form is retained by Council and will be placed on file.  A digital copy may be provided to the participant upon written request.

Modification or withdrawal of consent: Consent can be modified or withdrawn in writing at any time however, any changes will only apply from the date of receipt by Council. Any existing Council material in which the Materials are used will not be withdrawn from use.

Other considerations: If Council is notified that a participant has passed away their image and consent will be withdrawn immediately.

Information collected in this form will be handled in accordance with Council's Privacy Policy.

Agreement: *
Does the student identify as Aboriginal and/or Torres Strait Islander? (optional)
Electronic signature: *
06 December 2018