Climate Action Lewisham media content consent form

We are very grateful that you have made a movie about your personal choices and behaviour while on lockdown. We look forward to sharing it online as encouragement to others to do the same.

Sharing personal content online is not without risks, and we'd like to you feel comfortable about these. Here are some tips:

1. When you make your movie, only use your first name, and only share general information about yourself, such as where you live or your job or family.

2. Make sure there is no specifically identifying information in the movie, such as your house number, well-known landmarks nearby, or letters with your address appearing in the movie.

3. If you have challenging reactions to your content online, sometimes this is a good sign: it means people are thinking about the issues you raise, and can lead to good online conversations. However, if you're uncomfortable you can switch off comments, or remove the content. Please feel free to ask us to remove content if anything uncomfortable happens.

4. Familiarise yourself with the safety and privacy controls of the social media that you will use, they are all laid out here: https://www.saferinternet.org.uk/advice-centre/social-media-guides

We will ask for your contact information, and we'll keep it safe and not share it with anyone for any reason, unless you give your permission.

This is the consent form for your participation in Big Steps in Small Spaces. We want to ensure your online safety and be clear about your role in the project. Thank you very much for participating, and we're looking forward to working with you.

Climate Action Lewisham, Titania, Zaria, Jude, Ewelina and Josh

info@climateactionlewisham.org

titaniakrimpas@gmail.com

www.climateactionlewisham.org

Your full name*

First NameLast Name

Your email address*

Phone Number*

Area CodePhone Number

The name or subject of your movie

A 'working title' is ok, it's just so we know which is yours

I, the undersigned, consent to participate in the ‘Big Steps Small Spaces’ project, managed by Climate Action Lewisham, and allow my movie, including the use of my first name, to be hosted on the Climate Action Lewisham website and shared by Climate Action Lewisham members and others on social media.

Please read through and tick the boxes*

I understand that I sign this form on behalf of anyone appearing in my movie, including any children. If the children are not my own I will obtain parental consent myself.I understand that should I encounter online reactions to my content I may ask Climate Action Lewisham to remove the content from their website and any social media channels.I understand that I should submit my movie to Climate Action Lewisham for editing and addition to their youtube channel, and I should wait until the editing process is complete before sharing my own copies of the content.I understand that Climate Action Lewisham will share my movie on their website, facebook group, and twitter feed, and that other individuals will share posts under their own names.I give this authorisation out of a wish to encourage others to engage in personal choices and behaviour to reduce the carbon emissions of our borough and our society, and I do not expect any personal compensation for my input.

Date of Signing*

MonthDayYear

Your first name (as you'd like it to be shown online)*

The names of any other people in the movie*

Any additional information you think we should know.

I agree to all of the above, Signature*