Family & Community Media Permission Form

The BUSY School Calgary may take photos, video or audio of you, or invite you to take part in an interview or provide a quote. This form lets you choose how identifiable content featuring you may be used by The BUSY School Calgary and THE BUSY GROUP LTD.

Permission is voluntary. You can say no to any option, and you can also choose not to take part in a particular photo, video or interview. Saying no will not affect your or your family’s relationship with The BUSY School, access to School services or ordinary School activities.

Phone

This field is for validation purposes and should be left unchanged.

Participant details

Participant full name(Required)

First Last

Relationship to The BUSY School(Required)

Participant age(Required)

Under 18

18 or over

Your media choices

Choose Yes or No for each option. If you leave an option blank, it will be treated as No.

1. School communications

May The BUSY School Calgary use identifiable content featuring the participant for School communications and promotion?
Examples: School website, organic social media, emails, brochures, posters, signage and presentations.

Yes

2. THE BUSY GROUP LTD communications

May The BUSY School Calgary disclose approved content to THE BUSY GROUP LTD for Group communications and promotion?
Examples: Group website, organic social media, email, publications and corporate communications.

Yes

3. Paid advertising

Where you have approved use by the relevant organisation above, may that organisation also use the content in paid digital, social, print or other advertising?

Yes

4. Media and public relations

May approved content be included in media releases or provided to news media for stories about The BUSY School Calgary and/or THE BUSY GROUP LTD?

Yes

5. First name

May the participant’s first name be published with approved content where appropriate?

Yes

Before you submit

You can decline any particular photo, filming or interview activity, even after this form is submitted.
Authorised photographers, videographers, agencies and technology providers may create, edit, store or distribute approved content on behalf of the School or Group. They do not receive independent reuse rights. Content may be cropped, edited, shortened, captioned or formatted, but will not knowingly be presented in a way that materially misrepresents the participant.
Online content can be copied or shared by third parties, and authorised systems or providers may store or access content outside Alberta or Canada. If content is supplied to independent news media, the School and Group may not control later editorial use, archiving or republication.
Permission can be withdrawn at any time by contacting [PRIVACY CONTACT / EMAIL]. Reasonable steps will be taken to stop new use and disclosure and, where practicable, remove content from channels under direct control. Withdrawal cannot guarantee removal of material already printed, distributed, published by news media, downloaded, copied or shared by others.

Consent period: Permission takes effect when this form is submitted and expires 24 months after submission, unless withdrawn earlier.

Privacy notice

The BUSY School Calgary collects this form and associated identifiable media under section 4(c) of Alberta’s Protection of Privacy Act (POPA) for School communications and administration of media permissions. Approved content will only be used or disclosed as authorised by POPA, including consented uses under section 12(1)(b) and disclosures under section 13(1)(c).

If Group permission is selected, approved content may be disclosed to and used by THE BUSY GROUP LTD for those purposes and handled under applicable privacy law. Privacy questions or withdrawal requests: [PRIVACY OFFICER / AUTHORISED POSITION], [EMAIL], [PHONE].

Declaration

Who is completing this form?(Required)

I am the participant and I am 18 or over

I am the parent/legal guardian of a participant under 18

Full name of person completing this form(Required)

First Last

Relationship to participant(Required)

Email address(Required)

Signature of person completing this form(Required)

Date signed(Required)

CAPTCHA

Family & Community Media Permission Form