Consent Form | Eye Catching Images By Keesh

ATTENTION: YOU WILL RECEIVE A COPY OF THIS CONSENT FORM IF YOU HAVE A MINOR TO FILL OUT. THIS IS ONLY A PREVIEW OF WHAT YOU WILL RECEIVE. IT WILL NEED TO BE DATED AND SIGNED BEFORE EYE CATCHING IMAGES BY KEESH IS ABLE TO TAKE PICTURES. THANK YOU.

To be completed by individual(s) (parents/guardians if subject is less than 18 years of age) who appear in any photographs taken.

Eye Catching Images By Keesh would like to take your photograph for promotional purposes. These images may be sent out to the media with a press release, used for our publications or on our website.

Name*

Phone Number*

Email*

I agree to allow Eye Catching Images by Keesh to take photographs of me and grant permission for these to be used by Eye Catching Images and its project partners to promote paint reuse and Eye Catching Images in publications, press articles, promotional material and websites, exclusively for non profit- making purposes. *

Yes I agree

I also agree to my name being published in any associated publicity if required. Yes No We will not use the images taken, or any other information you provide, for any other purpose. Permission of parent/guardian if person photographed is less than 18 years of age I agree to allow Eye Catching Images to take photographs of the child(ren) in my charge and grant permission for these to be used by Eye Catching Images and its project partners to promote paint reuse and Eye Catching Images in publications, press articles, promotional material and websites, exclusively for non profit-making purposes. *

Yes I agree

I also agree to the child’s name being published in any associated publicity if required. Yes No We will not use the images taken, or any other information you provide, for any other purpose. Eye Catching Images By Keesh would like to take your photograph for promotional purposes. These images may be sent out to the media with a press release, used for our publications or on our website. Person(s) in photograph We will not use the images taken, or any other information you provide, for any other purpose.*

Yes I agree

Please type your name to confirm the above statements.

• Written permission is required from all persons in photograph but if it is a large group it may be preferable to ask if one is able to sign for all • If people are identifiable (even if in a large street scene for example) permission is required from all persons • Inform group/individual images will be used in context • Ensure a consent form has been signed • If a specific house/property is being identified permission from the owner must be sought Children and vulnerable adults • Permission must be sought from parent and/or carer and consent form must be signed.

The following are guidelines on how to use the form, but at all times bear in mind common sense. e.g. - if photographing a field and someone happens to be walking across this but their face can not be seen it may not be necessary to complete a form

ATTENTION: YOU WILL RECEIVE A COPY OF THIS CONSENT FORM IF YOU HAVE A MINOR TO FILL OUT. THIS IS ONLY A PREVIEW OF WHAT YOU WILL RECEIVE. IT WILL NEED TO BE DATED AND SIGNED BEFORE EYE CATCHING IMAGES BY KEESH IS ABLE TO TAKE PICTURES. THANK YOU.

Eye Catching Images By Keesh would like to take your photograph for promotional purposes. These images may be sent out to the media with a press release, used for our publications or on our website.

The following are guidelines on how to use the form, but at all times bear in mind common sense. e.g. - if photographing a field and someone happens to be walking across this but their face can not be seen it may not be necessary to complete a form

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