SIF2019 Adult Consent Form (Over 13s) - 1 Tick

 
Why is this form necessary?

​Corsham Institute makes recordings to share and evidence our work. We may use any images we take of you on our associated websites, social media channels or in printed publications, as well as use any videos or audio recordings of you on our associated websites or social media channels. From time to time, we may also provide any recordings captured to media outlets, which may mean they appear on third party websites or social media channels, local or national newspapers, or on televised programmes.

This release form provides us with your permission to use the content we create from photographing, filming or recording you, meaning that we can publish it.
Please read the points below and tick the box at the end of this section to confirm your agreement:
  • You are over the age of 13.
  • The photographs, video or other recordings made will be processed and stored in accordance with the UK Data Protection Act 2018 (EU General Data Protection Regulation 2016/679).
  • You freely give your permission for materials filmed, photographed or otherwise recorded to be used on our associated websites, social media channels, printed publications or by third party media outlets for marketing or publicity purposes.
  • This recording will be freely available on the Corsham Institute website and may be linked to other publicly available internet sites, as we share our work to further our cause.
  • We may edit the photo, video or recording as we see fit, however, if you object to the edits made, you have the right to request that we promptly correct or permanently delete your contribution.
  • Any opinions stated by you in the recordings are your own opinions, any facts expressed by you are, to the best of your knowledge, true and nothing you say is defamatory or infringes any other right of any person.
  • You consent for us to keep the photo, video or recordings for a period of up to five years from the date indicated on this form, unless we have other reason to remove it. At the end of this five year period we will delete any photo, video or recordings of you we hold, but they may continue to appear in publications already in circulation.
  • You can ask Corsham Institute (by contacting data@corshaminstitute.org) to:
- Confirm to you what personal data it may hold about you, if any, and for what purposes; 
- Change or withdraw your consent that has been provided to Corsham Institute at any time;
- Correct any inaccurate or incomplete personal data which may be held about you; 
- Provide you with a complete copy of your personal data for you to move elsewhere; 
- Stop processing your personal data, whilst an objection from you is being resolved; 
- Permanently erase all your personal data promptly, and confirm to you that it has done so (there may be reasons why we may be unable to do this); 
- Stop using your content at any time, in which case it will not be used in future publications but may continue to appear in publications already in circulation.

1. Please tick the box below to confirm that you have read, understood and agree to the above consent you are giving. *

 
For your information

If you have any questions about our Privacy Policy, which can be found on the Corsham Institute website, would like to exercise any of your rights, or to make a complaint, please email: data@corshaminstitute.org. If Corsham Institute does not address your request, or fails to provide you with a valid reason why it is unable to do so, you have the right to contact the Information Commissioner’s Office to make a complaint. They can be contacted via their website (www.ico.org.uk) or by telephone 0303 123 1113.

This agreement shall be governed by and construed in accordance with English law.
 

2. I hereby consent to Corsham Institute using images, videos and recordings contributed by me in February 2019 during the Corsham Safer Internet Festival. *

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3. Please provide your email address so that we can contact you in the future about the consent you have provided. This will also help us to validate your identity if you later decide to vary or withdraw your consent, or decide to exercise any of your data protection rights:

 

4. Date accepted: *

   DD/MM/YYYY 
 
 
If you are under the age of 16, please also ask your parent or guardian to read the above form and provide their consent below.

5. I confirm that I have read and understood the above form and hereby consent to Corsham Institute using images, videos and recordings contributed by my child: *

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A copy of this consent agreement will be securely stored by Corsham Institute. You are advised to retain a copy for your own records.