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Back to Back Theatre

60 Little Malop St
Geelong
Victoria
Australia 3220

Postal Address

PO Box 1257
Geelong
Victoria
Australia 3220

Tel 61 3 5221 2029
ABN 95 834 484 241

Email →

info@backtobacktheatre.com

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Image and Video Release Form

CAMP INTERNATIONAL

Back to Back Theatre uses photographs & video footage to promote their vision to the wider community.

 

Image and Video Release

  • I give permission for Back to Back Theatre to use video footage or still images of me
  • MM slash DD slash YYYY