Pre App - Photo Consent
Given Names: *
Surname: *
I hereby authorise the Motor Trade Association of WA (MTA WA) to publish photographs taken of me during the course of my studies at the MTA WA’s Automotive Institute of Technology, and my name and likeness, for use in the MTA WA’s print, online and video-based marketing materials, as well as other Association publications. I hereby release and hold harmless MTA WA from any reasonable expectation of privacy or confidentiality associated with the images specified above. I further acknowledge that my participation is voluntary and that I will not receive financial compensation of any type associated with the taking or publication of these photographs or participation in MTA WA marketing materials or other Association publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. I hereby release MTA WA, its contractors, its employees, and any third parties involved in the creation or publication of marketing materials, from liability for any claims by me or any third party in connection with my participation
Please select if you consent to the above or not *
I understand that if I am under 18 my parent / guardian must sign the below. *
Full Name of Parent /Guardian (if under 18 years)
Please draw your signature in the box below...