Photography Consent Form

If you do not wish to be present in any any forms of Integrated media, please let us know by contacting our Creative Team.

Name

First Name

Last Name

Contact Email

I Am A

If other, please state

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I (full name)

give permission for my (please check)

photos

videos

taken as part of its daily program, to be used now or in the future for the purpose of external communications, including advertising and marketing as well as posted on the service's Social Media accounts) including Facebook, Instagram and website.

I understand I can withdraw the above consent at any time by advising the Nominated Supervisor in writing.

I agree to these terms

I agree

Date

YYYY