Consent

Image permission form

Please complete this form to give consent to Sussex Community Foundation to use images and footage of you/ children in your care/ services users in your care or volunteers.
MM slash DD slash YYYY
Your name(Required)
Organisation(Required)
List
Please name the people appearing in the images and for whom you are giving consent. Click the + sign to add more rows.
Consent(Required)
I consent/ I consent on behalf of the children/ people in my care/ volunteers to the use of images/ footage taken of or by me or those in my care, by Sussex Community Foundation, in the following ways: Please tick all that apply.
We do not usually name children in general images/ footage. However, if the image/ footage is to mark a positive outcome or achievement, we may wish to. Do you consent to your child's/ the child in your care's name being published?
We do not usually name children in general images/ footage. However, if the image/ footage is to mark a positive outcome or achievement, we may wish to. Do you consent to your child's/ the child in your care's name being published?
Please sign by printing your name. Thank you!

Please note that websites and social media can be viewed throughout the world, not just in the UK, where UK law applies.

This form is valid for five years from the date of signing. We will seek to renew permissions if the image/footage is to be used after that time. If you wish to withdraw your permission at any time, please email here with ‘withdraw permission’ in the subject line, making it clear to which image/footage you refer. 

Thank you!

 

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