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{\listoverride\listid1089035643\listoverridecount0\ls1}}{\info{\title Consent form for photographs}{\author stacey}{\operator stacey}{\creatim\yr2002\mo5\dy15\hr8\min56}{\revtim\yr2002\mo9\dy2\hr15\min55}{\printim\yr2002\mo5\dy15\hr12}{\version18}
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\keepn\widctlpar\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\f1\fs32\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {{\*\bkmkstart _Toc497903514}Hampshire EMA Service: consent form for photographs{\*\bkmkend _Toc497903514}
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\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {To (Name of parent or carer):\cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd 
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\widctlpar\intbl\faauto\adjustright\rin113\lin0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {Name of your child:\cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 
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\cltxlrtb\clftsWidth3\clwWidth2241 \cellx2133\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth6420 \cellx8553\row }\trowd 
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School:\cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd \trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
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\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {Location:\cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd 
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\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth6420 \cellx8553\row }\trowd \trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone 
\clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\pard\plain \s16\ql \li0\ri113\sl-240\slmult0\widctlpar\intbl\faauto\adjustright\rin113\lin0 \f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd \trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\row }\pard\plain \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl\faauto\adjustright\rin113\lin0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 
{\b Hampshire Ethnic Minority Achievement Service}{  (part of Hampshire County Council) would like to take photographs of pupils at your child\rquote 
s school. These photographs may be published in our printed publications, on our external website, or both. (www.hants.gov.uk/blss). Children\rquote s names will not be published.\cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd \trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\row }\pard\plain \s16\ql \li0\ri113\sl-240\slmult0\widctlpar\intbl\faauto\adjustright\rin113\lin0 \f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd \trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt
\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\row }\pard\plain \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl\faauto\adjustright\rin113\lin0 
\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {Before taking any photographs of your child we need your permission. Please answer questions 1 and 2 below, then sign and date the form where indicated. }{\b 
Please return the completed form to your child\rquote s school as soon as possible.}{\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd 
\trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\row }\trowd 
\trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth6771 \cellx6663\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone 
\clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1890 \cellx8553\pard\plain \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl\faauto\adjustright\rin113\lin0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\cell }{\i 
Please circle\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd \trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt
\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth6771 \cellx6663\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1890 \cellx8553\row 
{\pntext\pard\plain\s15 \intbl\f1\fs22\lang2057\langfe1033\langnp2057 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard\plain \s15\ql \fi-360\li360\ri113\sb120\sl-240\slmult0\widctlpar\intbl\jclisttab\tx360{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0
\pndec\pnstart1\pnindent360\pnsp120\pnhang{\pntxta .}}\faauto\ls1\adjustright\rin113\lin360 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {May we use your child\rquote s photograph in printed publications produced by Hampshire 
Ethnic Minority Achievement Service?\cell }\pard \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin113\lin0 {\line }{\b Yes / No}{\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl{\*\pn 
\pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd \trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth6771 \cellx6663\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1890 \cellx8553\row }\pard\plain 
\s16\ql \li0\ri113\sl-240\slmult0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin113\lin0 \f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl{\*\pn 
\pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd \trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth6771 \cellx6663\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1890 \cellx8553\row {\pntext\pard\plain\s15 \intbl
\f1\fs22\lang2057\langfe1033\langnp2057 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard\plain \s15\ql \fi-360\li360\ri113\sb120\sl-240\slmult0\widctlpar\intbl\jclisttab\tx360{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent360\pnsp120\pnhang
{\pntxta .}}\faauto\ls1\adjustright\rin113\lin360 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {May we use your child\rquote s photograph on our internet website?\cell }\pard \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl{\*\pn 
\pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin113\lin0 {\b Yes / No}{\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin0 
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\cltxlrtb\clftsWidth3\clwWidth6771 \cellx6663\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1890 \cellx8553\row }\trowd 
\trqr\trgaph108\trrh-120\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\pard\plain 
\s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin113\lin0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\i \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl{\*\pn 
\pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\i\fs20 \trowd \trqr\trgaph108\trrh-120\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt
\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\row }\trowd \trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\pard\plain \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin113\lin0 
\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\i Please note that websites can be viewed by anyone, worldwide.\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\i\fs20 \trowd \trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\row }\pard\plain \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin113\lin0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\i This form is valid for four years from the date of signing. Renewed consent will be sought if the photograph(s) are to be re-used after the expiry date.\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }
\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\i\fs20 \trowd \trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone 
\clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\row }\trowd \trqr\trgaph108\trrh-120\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\pard\plain \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin113\lin0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\i 
\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\i\fs20 \trowd 
\trqr\trgaph108\trrh-120\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\row }\trowd 
\trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1674 \cellx1566\clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4104 \cellx5670\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2883 \cellx8553\pard\plain 
\s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin113\lin0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {Your name: \cell \cell }{\scaps\fs20 (PLEASE PRINT)\cell 
}\pard\plain \ql \li0\ri0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd 
\trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1674 \cellx1566\clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4104 \cellx5670\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2883 \cellx8553\row }\trowd 
\trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2808 \cellx2700\clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2970 \cellx5670\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth896 \cellx6566\clvertalt\clbrdrt\brdrnone 
\clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1987 \cellx8553\pard\plain \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin113\lin0 
\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {Signature:\cell \cell }\pard \s15\qr \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin113\lin0 {Date:\cell }\pard 
\s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin113\lin0 {\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd \trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\cltxlrtb\clftsWidth3\clwWidth2808 \cellx2700\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2970 \cellx5670\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrnone \cltxlrtb\clftsWidth3\clwWidth896 \cellx6566\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1987 \cellx8553\row }\trowd 
\trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth6771 \cellx6663\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone 
\clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1890 \cellx8553\pard\plain \s16\ql \li0\ri113\sl-240\slmult0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin113\lin0 
\f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 
\trowd \trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth6771 \cellx6663\clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1890 \cellx8553\row }\trowd \trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrnone \clbrdrb
\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\pard\plain \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin113\lin0 
\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {To: Headteachers
\par Where pupils }{\b are able to be identified }{forms}{\b  must}{ be completed for each child whom BLSS wishes to photograph. Where group shots are organised and individual children }{\b cannot be easily identified}{, headteachers must 
find out whether any parents are unwilling for their child to be in the photograph. In this instance we ask the headteacher to answer declaration 3 below and sign the consent form.  }{\b 
Headteachers should return the completed form to the address shown below.\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\fs20 \trowd \trqr\trgaph108\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8661 \cellx8553\row }\trowd 
\trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth6771 \cellx6663\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone 
\clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1890 \cellx8553{\pntext\pard\plain\s15 \intbl\f1\fs22\lang2057\langfe1033\langnp2057 \hich\af1\dbch\af0\loch\f1 3.\tab}\pard\plain \s15\ql \fi-360\li360\ri113\sb120\sl-240\slmult0
\widctlpar\intbl\jclisttab\tx360{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent360\pnsp120\pnhang{\pntxta .}}\faauto\ls1\adjustright\rin113\lin360 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
I have established which parents are happy for their children to take part in photographs for use in Hampshire EMA Service printed publications and/or on their website.
\par }\pard \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl\faauto\adjustright\rin113\lin0 {\cell \line \line }{\b Yes / No}{\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd \trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\cltxlrtb\clftsWidth3\clwWidth6771 \cellx6663\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1890 \cellx8553\row }\trowd 
\trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1107 \cellx999\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4677 \cellx5676\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1317 \cellx6993\clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1560 \cellx8553\pard\plain \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl\faauto\adjustright\rin113\lin0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
School:\cell \cell }\pard \s15\qr \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl\faauto\adjustright\rin113\lin0 {DfES No:\cell }\pard \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl\faauto\adjustright\rin113\lin0 {\cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd \trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone 
\clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1107 \cellx999\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4677 \cellx5676\clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1317 \cellx6993\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1560 \cellx8553\row }\trowd 
\trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2565 \cellx2457\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth3219 \cellx5676\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1317 \cellx6993\clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1560 \cellx8553\pard\plain \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl\faauto\adjustright\rin113\lin0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
Headteacher\rquote s name:\cell \cell }{\scaps\fs20 \cell }{\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd 
\trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2565 \cellx2457\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth3219 \cellx5676\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1317 \cellx6993\clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1560 \cellx8553\row }\trowd \trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone 
\clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1431 \cellx1323\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4353 \cellx5676\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb
\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1317 \cellx6993\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1560 \cellx8553\pard\plain 
\s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl\faauto\adjustright\rin113\lin0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {Signature:\cell \cell }\pard \s15\qr \li0\ri113\sb120\sl-240\slmult0
\widctlpar\intbl\faauto\adjustright\rin113\lin0 {Date:}{\scaps\fs20 \cell }\pard \s15\ql \li0\ri113\sb120\sl-240\slmult0\widctlpar\intbl\faauto\adjustright\rin113\lin0 {\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 \trowd \trqr\trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\cltxlrtb\clftsWidth3\clwWidth1431 \cellx1323\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4353 \cellx5676\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrnone \cltxlrtb\clftsWidth3\clwWidth1317 \cellx6993\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1560 \cellx8553\row }\pard 
\ql \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20 
\par }\pard \qc \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\i\fs22 
\par Hampshire EMA Service (Website)
\par  Richard Aldworth School Site
\par Western Way, Basingstoke, RG22 6HA
\par }}