Photo consent

Please fill in the form below to give us your photo and/or video consent.

If you'd like to find out more about how we handle your data, you can read our privacy policy here.

Photo and video consent form

First name

Last name

If the model is under 16:

I agree that Heal may use photographs, film or other images of the model (whose details are shown below) to promote the organisations charitable and commercial interests and this may include the sale or sub-license of such photographs to third parties.

Full name of model

Date of birth of model

Name of parent/legal guardian

Data protection

How we use your personal data:

We may use your image (photograph or film) for advertising or awareness campaigns on Websites, Social Media sites or printed products. The personal data you give us in this Release Form will be held securely and will not be used for any other purpose; we will never use it for marketing communications that you haven’t agreed to receive.

How we protect your personal data and how long will we keep it?

Images are stored on a secure server until we no longer require them when they and the personal data you provide in this Release Form will be securely destroyed.

If you no longer want your image to be used:

At any time you can change your mind about whether to consent to images of yourself being used by us, please email heal@healrewilding.org.uk or contact us on 01749 684757. The image(s) and the personal data in this Release Form will be securely destroyed.

Date

Signature