Consent Form - Endorphins Group UK

CONSENT FOR PHOTOGRAPHS, VIDEO CLIPS AND INTERVIEWS ENDORPHINS GROUP
Child / Young Persons / Your name*
First Last
Parents Name (If applicable)
First Last
I/We* give my/our* full consent for the Endorphins Group to use photographs and video clips taken of me/ourselves* and/or my/our* words taken in interview, to be used for promotional and information purposes.*
This will include using images / Videos / Quotes on Facebook, Twitter, Instagram, Youtube & LinkedIn
I/We* understand that my/our* photograph(s) and / or my/our* words may be used in various print or other media, locally or nationally, to promote and inform people about our activities.
Signature
Print full name
Date
DD slash MM slash YYYY
Phone number
(for contact)
Thank you very much for helping us to inform people about our services

CONSENT FOR PHOTOGRAPHS, VIDEO CLIPS AND INTERVIEWS ENDORPHINS GROUP