Social media consent/release form

I authorise Natural Resources Wales (NRW) to use my image and/or video and related information as published on the website you have given below *

Yes
No

Please include the website address below *

I understand that this information could be used on other social media channels or in other publications, including internal and external presentations, on the NRW website or intranet, newsletters or as part of media relations activity.

My consent is freely given to reuse this information without expectation of payment. *

Yes
No

When acknowledging my information, I would prefer that:

My complete name is used
My social media handle is used
Only my first name is used
No name is used / I do not need acknowledgement

I understand that I can revoke this permission at any time in writing and that the use of my image/video and information originally authorised by this release form will cease immediately. *

First name	*
Last name	*
Email address	*
Telephone number	*

I certify that the information given is correct *

Yes

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