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General Media Release POPA Form

The personal information on this form is collected under the authority of Alberta’s Protection of Privacy Act (POPA) (ss. 4(a) & (c)) and will be used solely for the purposes described below.

Agriculture Workshop • September 23, 2026

This consent form is for:

St. Francis Junior High

Student Information

We could not find this workshop. Please check the link or contact SACI.

Guardian Information

Photo and Video Permission

I hereby give Southern Alberta Collegiate Institute and Lethbridge Polytechnic the right to record, film, photograph, audio record or video record testimonials, images, works, and/or performances of the student listed above, and to use these recordings, for educational, display, promotional, marketing, social media, advertising, website use and other purposes.

This grant includes, without limitation, the right to publish such images in polytechnic and collegiate related publications and promotional materials such as marketing publications, advertisements, out of home/outdoor advertising, fundraising materials, and social media channels.


I waive any right to review or approve specific uses of these Works, and I waive any right to compensation for them. I understand this consent is voluntary and that I may withdraw it at any time by contacting info@southernalbertacollegiateinstitute.ca. Withdrawal stops new uses going forward but does not require the Southern Alberta Collegiate Institute or the Lethbridge Polytechnic to recall, alter, or destroy materials already produced or distributed.

Guardian Signature

Please sign below to confirm your selection

Thank you. Your consent form has been submitted.

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