For People with Down's Syndrome : Photograph/Film/Sound Permission Form

Man taking picture

We use photographs and films and sound recordings to tell people about Down’s syndrome and what we are doing.
Man pointing

We would like to use a photo or film or sound recording of you.

We may use your photo or film or sound recording in these places:
  • Websites
  • Training
  • Social media
  • Blogs
  • Booklets
  • Factsheets
  • The DSA Journal
  • D2E Magazine
  • Events
  • Press releases
There may be other places we want to use your photo or film or sound recording too.

We may also give your photo or film or sound recording to other organisations, but we will check how they want to use it first.

Signing this form means you give your permission for us to use your photo or film or sound recording.
Consent

Permission means you are happy for us to use the photo or film or recording.

It is your choice to give your permission.
Man thinking

You can take some time to think about if you are happy to give your permission.

You can ask your family or friends to help you.

If you give your permission, you are happy for us to:

Use your photo / film / recording in a reasonable way at any time in the future, unless you tell us you have changed your mind.
  • Edit your photo or film or recording
  • Save your photo or film or recording and send it to other people.
  • Save your name and details in case we need to contact you.
By signing this form you are saying:
  • I am over 16 years of age
  • I understand what this form is telling me and I agree to give my permission
If I change my mind, I must contact the Down’s Syndrome Association to tell us this.

Please answer the next few questions:

Name




Address



Email



File 1



File 2



File 3





 

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