Consent form Consent Form Programme Consent Form Consent and permissions for Christchurch City Libraries programmes for children. "*" indicates required fields I give consent for my child (full name)* First Last Date of Birth* Terms of student participation (safety guidelines)*To support us in providing a safe learning environment, please discuss the following safety guidelines with your child before you submit this consent form. I have discussed the safety guidelines with my childLibrary Card Number (if a member) Parent / Guardian Agreement - Terms and ConditionsTerms and Conditions*Please note: This is a generic consent form to cover all aspects of Christchurch City Libraries programmes. Some of which might not be applicable. I give permission for my child to participate in Christchurch City Libraries programmes. I understand that: IN-PERSON programming: * My child may be asked to use an existing personal email account, use a temporary email account provided by Christchurch City Libraries or be asked to create an email account to enable access and use of web tools for learning. * My child may be asked to work outside within the boundaries of the library grounds. * Christchurch City Libraries may contact me about future programmes. ONLINE Programming: * I understand that there are expected standards of behaviour for my child while playing in the Minecraft world, as directed by the tutors. * I understand that the tutors will monitor this behaviour in the group setting to ensure the safety of my child while playing online. * I understand that my child will be required to join a virtual meeting (Microsoft teams) group during game time to assist the tutors with communication, encourage collaborative play and identify the players joining the online Minecraft world. * I understand that we will need to download the Minecraft Education Edition app (free) before the first session begins, and that my child will need to have a device such as an iPad/PC/laptop to be able to join the Minecraft world. * I understand that from time to time there may be connection/tech issues and I will be there to support my child should these occur. * I give consent for my child's participation in the online Minecraft Club conducted by Christchurch City Libraries. By ticking the checkbox below, I confirm that I have read and understood the requirements listed above. I agree to the terms and conditionsParent / Guardian's full name* First Last Parent / Guardian's phone number*Email Emergency contact's name* First Last Emergency contact's phone number*Privacy Policy By submitting your personal information, you acknowledge that your information will be collected and processed by Christchurch City Libraries in accordance with its Privacy Policy. Your information will only be used and disclosed for the purpose of Christchurch City Libraries programmes. Consent*By clicking this box, I confirm that I am the parent/legal guardian of the child named above and that I give permission for my child to participate in the Christchurch City Libraries Programme on the basis set out in this consent form. I agreeModel ReleasePhotographs, video or audio recordings of children may be taken and these and their work may be used in marketing material for Christchurch City Libraries.I agree to photographs, video, or social media posts of my children and their work*I agree to photographs, video, audio recording or social media posts of my children and their work appearing on Christchurch City Libraries or Christchurch City Council channels. Yes No Model Release FormI hereby irrevocably grant to the Christchurch City Council and its licensees and assignees ("CCC") the full right and permission to use and publish my video and/ or photographic image or audio recordings of me in whole or in part in any form of media or for any other lawful purpose in relation to any promotion or communication relating to the Christchurch City Council or its activities or to any organisation that the Christchurch City Council funds, sponsors or supports in any way. I release CCC from any liability in connection with the image(s) or recording(s). I understand and agree that video or photographic images or audio recordings of me may be cropped, altered, transformed or reproduced in any way and may also be combined with other works or text. I waive any right that I may have to inspect or approve any product or copy prior to its use. I am legally entitled to authorise this use and have read and fully understood the above authorisation. This release shall be binding upon me. Name* First Last Date* MM slash DD slash YYYY Address* Street Address Address Line 2 City Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands PhoneAge* By clicking this box, I confirm that I am the parent/legal guardian of the individual named above and I have read this release, understand and approve of its terms. By clicking this box, I confirm that I am 18 years of age or over and that I have read this release, understand and agree to the terms and conditions of the model release form set out above. EmailThis field is for validation purposes and should be left unchanged.
