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PHOTOGRAPHY AND MEDIA CONSENT FORM
First name *
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First
Last name*
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Last
Email*
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INTERNAL USE
mecwacare displaying my name and photograph within the facility or centre, i.e. on noticeboards and newletters.
EXTERNAL USE
A) external advertising and promotion, including magazines, billboards, brochures, newsletters, banners, websites and broadcast media (tv and radio).
B) Social media posts (including Facebook, Instagram and LinkedIn)
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Pascoe Vale Gardens Retirement Village
Robin Syme Malvern
The Pines Retirement Village
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Agent*
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*An agent constitutes a person who holds power of attorney for the resident/client/participant, is their guardian or who has been authorised by the resident to sign on their behalf.
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I hereby grant mecwacare permission publishing photographs, videos and/or information about myself for the purpose(s) of the above.
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