Consent Form

Media Releases

Fill in form

BSL

Photography, filming, publicity and data storage consent form

This form covers consent for use of images/videos/profiles and comments for internal and external communication, and storage of the data contained on this form by the Deaf Health Wales project.

Please complete this form to give consent for us to take images, moving footage, audio, comments and other personal data to then be stored and used.

This form covers consent for use of the above for internal and external communication and storage of the data within this form. All data (images, film, comments, personal info on this form), will be stored by Deaf Health Wales. The data may be shared with 3rd party organisations in order to fulfil the communication work necessary, e.g. providing images to design/ print agencies.

Fill in form

    Fill in Media Releases form

    Consent for use of images, video and name in Deaf Health Wales publicity.

    1. First Name

    2. Surname

    3. Email

    Your consent
    Please tick or cross boxes where applicable.

    I understand the Deaf Health Wales project will keep all its images in accordance with data protection law and delete the images that have not been used for any publicity or marketing after 5 years.

    I also understand that the still / moving images / audio used for publicity or marketing purposes are in the public domain and therefore could potentially be reproduced, altered, or re-used by anyone in the world outside of the Deaf Health Wales project.

    I know I have the right to withdraw consent at any time by emailing deafhealth@bangor.ac.uk but understand that withdrawing consent may not affect the material that has already been used.

    4. I give consent for the Deaf Health Wales project to use my data as selected below for use on websites, social media channels and digital communications materials, including advertising material, printed publications and news media.

    5. Your signature

    6. Date

    Join Community