Photography and Media Consent

PHOTOGRAPHY AND MEDIA CONSENT FORM

First name *(Required)

Last name*(Required)

Email*(Required)

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 but not limited to magazines, billboards, brochures, newsletters, banners and websites.

B) Social media posts (including Facebook, Instagram and LinkedIn)

Service area(Required)

Relationship(Required)

*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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