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Community and Wellbeing

Photograph, video and audio permission and release form

The Barossa Council occasionally uses photographs, videos and audios (the content) of patrons and events in a range of Council publications, promotional marketing and online through the website and associated social media applications. Please sign this release form to grant Council the permission to use your/and or your child’s photo.

I hereby give my unconditional permission to The Barossa Council to use photographs, videos and/or audios taken of me (and/or child) on the date of this permission and release for the purposes of promoting, publicising and advertising Council and its programs, initiatives and community services.

I expressly release The Barossa Council from any claim for financial compensation now and in the future, arising out of the use of the photographs, videos and/or audios in accordance with this permission and release.

I expressly acknowledge and agree that all rights in the content, including the copyright therein, and the ownership of the content belong to The Barossa Council.

I understand that The Barossa Council may use the content in newspapers, magazines, advertisements, newsletters, brochures and other promotional material including online and through social media channels, and I expressly authorise such use.

I acknowledge the right of The Barossa Council and give express permission for them to edit the photographs, videos and audios at its discretion. I acknowledge that The Barossa Council may not use the content at this immediate time, but may choose to do so at a later date and also expressly authorise such later use.

I also understand and acknowledge that once the content is posted on The Barossa Council website and/or social media application, that it can be downloaded.

I agree to indemnify and hold harmless The Barossa Council from any claims arising from such activities and expressly include within the scope of this indemnity and release the following persons:

  • All employees at The Barossa Council
  • Elected Members of The Barossa Council, including the Mayor and CEO

Permission and release form

Name(s)

Provide the name of the person(s) included in the photo, video and or audio that related to this form.

Provide the best contact number for us to reach if needed in relation to this photo, video and/or audio

Provide the best email to use for more information if needed in relation to this photo, video and/or audio

Over 18yrs
Your browser does not support the Signature field

For persons under the age of 18, the permission of a parent or guardian is required.
I certify that am the parent/guardian of the mentioned child/children. I hereby grant permission to The Barossa Council to use photographs, videos and/or audios of this child/children as outlined above and overleaf.

Parent/Guardian name
Child’s/Children’s Name/s
First name only
No name
Your browser does not support the Signature field

Council requires you to indicate if you agree to you or your child’s/children’s photograph, video and/or audio being used on online including, but not limited to, website, Facebook and Instagram.

Online permission 
What type of event or activity if this for? 

Select the event/activity that the photo, video and/or audio relates to. If unsure, please ask the staff member available for the event/activity.

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