Photo Consent Form

Name *

First

Last

Date of Birth *

Name of Parent / Guardian if under 18 years of age

First

Last

Email *

Do you consent to photos / videos being taken? *

Yes
No
Other

If you selected 'Other' please provide details below

'Other'

If you have any specific comments you wish us to take into consideration, please note these here.

I grant MKKC rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group’s aims. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications. *

I agree
n/a

Please only select 'n/a' where no photo consent is granted

Date form completed *