• Photography / Video Adult Consent Form

    Please note:This form is for people aged 18 and over. If you are under 18, we will require consent from a parent or carer. Please use the separate ‘Child Consent Form’ for this. 
  • Healthwatch Croydon is a Croydon-based organisation to represent the views of residents about their experience of health and social care services. Help & Care manage the contract to deliver this service.

    Help & Care is a Bournemouth based charity (No. 1055056) that supports people and communities to live independent and fulfilling lives. It was established in 1985 and also delivers its services through connected social enterprises such as Roots, Handiworks Plus, and Healthwatch.

    Help & Care would like to take a photograph of you/ record your image for promotional and marketing purposes. We may use these images as part of our charity’s displays, on our printed and online publications, press releases, videos, presentation materials, on our website, and social media (Facebook, Twitter and LinkedIn). These images/footage may also be used by our connected social enterprises to promote and market their work. More information about Help & Care and its connected social enterprises can be found at www.healthwatchcroydon.co.uk.

    To comply with the General Data Protection Regulation (GDPR), we need your permission before we capture any images of you. Please complete the details requested below, and sign and date the form where shown. Questions 1 to 7 allow you to decide how we can/cannot use your image/footage. We will not use your images/footage for any other purpose than those stated below and will not sell or release your image/footage to others for their use without your prior, written consent.

  •  -
  • 1. May we use your image in our printed publications, including leaflets, flyers posters, reports, and display boards?
  • 2. May we use your image in press releases, which may subsequently appear in the local or national media?
  • 3. May we use your image on our website?
  • 4. May we use your image on our social media sites?
  • 5. May we use your image on our promotional videos?
  • 6. May we use your image in slideshows/ presentation material?
  • 7. May we use your name in any captions or descriptions?
  • 8. May we use your name in any captions or descriptions?
  • Are you happy for Healthwatch Croydon to send you digital communications?
  • Date
     - -
  • You have the right to withdraw your consent at any time. If you ever wish to withdraw consent, please send us an email at info@healthwatchcroydon.co.uk.

  • Should be Empty: