Family media permission form - for young people aged 13 - 17 "*" indicates required fields Name* First Last Date of birth* Day Month Year Age*Please select the hospice you are associated with Milton The Nook The Treehouse I provide consent for any photos, films and audio taken at EACH events (including by organisations supporting or attending the event), as well as any personal photos I have supplied, to be used at the discretion of the EACH Marketing and Communications team, for the purposes I have selected below.* Yes No Please tick all that you consent to: Printed and offline materials including posters, brochures and local or national press Online, including all EACH digital channels such as our website and e-newsletters Social platforms - Facebook, Instagram, LinkedIn, TikTok, X and Youtube Additional consent options I am happy for names to be published alongside photos or recordings I am happy for group images and footage to be shared with other families Understanding and acknowledgement* Tick to confirm you understand that:• Content used online or in printed media may remain publicly accessible for several years, including after we no longer receive EACH services. • Due to developments in digital technology (including AI image-generation tools), content published online may occasionally be reused or adapted by third parties beyond EACH’s control. • I may withdraw consent at any time by contacting EACH, and withdrawal will apply to future use only. Date form completed* Day Month Year YOUR PRIVACY Your information is held securely with all reasonable precautions used to protect it. We will only allow your information to be used by suppliers working on our behalf and will only share it elsewhere if required to do so by law. For full details, please see our privacy policy.
