Photo, video, audio permission/consent - for Council use only. Event Details Event name and location Date and time Date and time: Date Date and time: Time Photographer/videographer/host Primary purpose of photo/video/recording: Consent of Person or Guardian I consent to the Whitehorse City Council using photographs, video images and / or audio recordings of me to promote the Council’s work or highlight Council activities. I understand that the Council uses photographs, video images and audio recordings online, such as on the Council’s website and social media and in printed publications, like the Council’s annual report. I also understand that the Council may use/continue to use the photographs, video images and / or audio recordings for up to 5 years after today and that after that time it will archive them permanently in the Council’s media library. Full name First name Last name Gender Age Guardian's full name Contact number Email address Visual signifier: I give consent: Yes No Collecting your personal information When the Council handles personal information, like the photograph/s, video images or audio recordings of you, it is required to comply with the Privacy and Data Protection Act 2014 (Vic). More information about the Council’s privacy obligations can be found at www.whitehorse.vic.gov.au/privacy-statement or from the Council’s Customer Service Centre. You can contact the Council for further information through the Strategic Marketing and Communications team [+61 3 9262 6333] or to make changes or withdraw your consent for the Council to use your image. You can also contact the Council’s privacy officer [+61 3 9262 6413] for more information about privacy. Photographs, video images and audio recordings collected by the Council will only be used by the Council to promote its activities and work. If requested, the Council may provide copies to a person appearing in the photograph, video image or audio recording, but it will not provide access for other purposes without your consent to do so. As the Council may use these materials for up to 5 years, the Council’s officers may access them over that time when they are creating promotional material. Due to the nature of online publications, if a photograph, video image or audio recording is posted online, the Council will not be able to control whether it is copied or redistributed. The Council will not otherwise use or disclose your personal information, including the information on this consent form, without obtaining your consent or unless it is required or authorised by law to do so. For further information on how Council manages privacy, please email the Council’s privacy officer at customer.service@whitehorse.vic.gov.au. Leave this field blank