Photograph/Film Submission and Agreement | Down's Syndrome Association

Terms and Conditions
The Down’s Syndrome Association (DSA) exists to provide information, advice and support to people with Down’s syndrome, their families and interested professionals.

We use photographs and filmed images to promote awareness of campaigns, projects and general information via our websites, social media, publications and for general displays and presentations at conferences and fundraising or media events. We may also pass photographs/filmed images on to other organisations or to the media, as we deem appropriate, after rigorously checking their intended purpose.

We ask that you complete the declaration below, so that we may use your photographed and filmed images to promote awareness.
1. I give permission to the Down’s Syndrome Association to use the photographs/film taken of me.
2. I grant the DSA permission to use the Photographs/film throughout the world in its/their original format or edited or altered in any way which the DSA deems appropriate.
3. I give permission to the DSA to store/transfer the photographs/film.
4. I give permission to the DSA to store my contact details appropriately in case it needs to contact me.
5. I give permission to the Down’s Syndrome Association (DSA) and the photographer/filmmaker the right to photograph/film me and to use this in any way they consider reasonable at any time in the future. This includes (but is not limited to) reproducing these photographs/film in books, exhibitions, websites, blogs, Facebook, Twitter and other social media; fundraising and advertising; for ongoing campaigns, new projects and any other purpose deemed reasonable at any future date
Please confirm*
- I have read the release and agreement and I fully understand the contents.
Please confirm*
- If I wish to remove my permission at a later date, I must contact the DSA to confirm my request
Please confirm*
- I am over 16 years of age
If you are giving permission on behalf of the participant, please complete both sections below:
Participant
Title
Other
If "Other", please enter your title here.
First Name*
Last Name*
Street Address*
Address Line 2
Town/City*
County*
Postcode*
Email*

Your email address, for example "joe@bloggs.com".
Phone Number*
Numbers only, without spaces or punctuation.
If you are giving permission on behalf of the participant, please complete the following:
- I confirm that the photographs/films are of the person in my care and that I am entitled to sign this form on their behalf.
- I have read and understood the release, agreement and information and agree to the photograph/films of the person in my care being used.
Name of Participant
Age of Participant
Parent/Carer's Name
Please confirm
- I am over 16 years of age
Relationship to Participant
Address (if different to above)
Street Address
Address Line 2
Town/City
County
Postcode
Email (if different to above)

Your email address, for example "joe@bloggs.com".
Phone (if different to above)
Numbers only, without spaces or punctuation.
Information About Your Photographs
Please remember you can only enter up to three (3) photos. Each photo can be a maximum of 5MB in size and must be jpg format.

Please note: uploading may take some time depending on your internet connection. Please do not browse away from this page until you see the confirmation screen.
How many photos are you entering?*
Upload your photos

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Maximum file size per photo: 5MB (allowed file types: jpg, png).
Please tell us a little about your photos
By submitting this agreement and image(s), you are declaring that the information you have included is true and that you give full permission as stated.
Email
This field is for validation purposes and should be left unchanged.