PERMISSION TO VIDEO AND

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THE GERRARD RESOURCE CENTRE ______________________________________________________

350 Victoria St. KHW 383A, Toronto Ontario, M5B 2K3

TEL: 416-979-5000 x2535, FAX: 416-979-5239

PERMISSION TO VIDEO AND PHOTOGRAPH

From time to time photographs and/or videotapes may be taken for educational and /or centre related purposes by students from Ryerson University or George Brown College participating in our program.

I have read and understand the above information.

I hereby give my consent for my child(ren) _______________________________ to be photographed or videotaped while in attendance at the Gerrard Resource Centre. I understand that these photographs or videotapes are educational purposes and will not be used outside the University without your consent.

Signature of Parent/Guardian: _______________________________________

Date: ___________________________________

I understand that the Gerrard Resource Centre will use the personal information collected on this form for the purpose of communicating with me from time to time about programs, services, fundraising activities, and changes in policy and I consent to the use of my information for this purpose. I understand that I can withdraw this consent at any time by writing the

Gerrard Resource Centre at 350 Victoria St. Toronto, Ontario M5B 2K3or emailing at cmoher@ryerson.ca

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