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Photography and Media Consent
PHOTOGRAPHY AND MEDIA CONSENT FORM
First name *
(Required)
First
Last name*
(Required)
Last
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 magazines, billboards, brochures, newsletters, banners, websites and broadcast media (tv and radio).
B) Social media posts (including Facebook, Instagram and LinkedIn)
Service area
(Required)
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Corporate Office Malvern
Home Care
Community/Disability Services
Annie's Court
Ballan Aged Care
Calwell Manor
Elstoft House
Flora Hill
Gregory Lodge
John Atchison Centre
Jubilee House
Malvern Centre
Noel Miller Centre
O'Mara House
Park Hill
Rositano House
Simon Price Centre
Squires Place
Susan Barton House
Trescowthick Centre
Vincent House
Wahroonga
Ballan Retirement Village
Berwick Brae Gardens Retirement Village
John Atchison Retirement Village
Pascoe Vale Gardens Retirement Village
Robin Syme Malvern
The Pines Retirement Village
Relationship
(Required)
Resident/client/participant
Agent*
Volunteer
Employee
*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.
Comments
Consent
(Required)
I hereby grant mecwacare permission publishing photographs, videos and/or information about myself for the purpose(s) of the above.
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