Media Opt-Out Declaration

Please complete and submit this form ONLY if you do NOT wish for Western Sydney Wanderers FC to record your child’s participation and appearance for use on any form of media across our community football programs. 

This photo opt-out is applicable for up to 12 months and applies to any of our community football programs. 

Media Opt-Out Declaration

I do not wish for Western Sydney Wanderers to record my child’s participation and appearance across any form of media, including audio, video, and photography. I understand Western Sydney Wanderers will make a reasonable effort to comply with this request. If I become aware of a recording with my child’s participation and/or appearance, I will notify Western Sydney Wanderers. 

I hereby confirm that I am the parent/legal guardian of the child stated below. I further affirm that I have read this Opt-Out Form and am familiar with its contents.

Media Opt Out Form
I am completing this form on behalf of:
Your Name
Your Name
First
Last
Parent/Guardian's Name
Parent/Guardian's Name
First
Last
Your Child's Name
Your Child's Name
First
Last
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Co-Major Partners
Senior Partners
Liberty A-League Women Major Partner

The Western Sydney Wanderers FC respect and honour the Traditional Custodians of the land and pay our respects to their Elders past, present and future. We acknowledge the stories, traditions and living cultures of Aboriginal and Torres Strait Islander people on the lands we meet, gather and play on.