Sharing Your Story

Thank you for choosing to have your photograph taken / appear in a video to support St Barnabas Hospice. Your photograph / video will allow us to promote the work that St Barnabas do each and every day across Lincolnshire.

Before you sign the Sharing your Story Consent Form, we would like to make you aware of the following:

  • By signing this form, you agree we can share your photo / video you appear in on printed materials, electronic communications, presentations or other media like our website and social media.
  • You understand that once your photo / video is shared, it may be shared further by press outlets – this could include news websites or newspapers, radio, TV, or other media.
  • St Barnabas cannot be held responsible for any objections made by third parties (such as family members) once the story has been shared, with your consent.

You should only agree to us using your photo / video if you feel completely happy with us doing so. If you are under 18 years of age, your legal guardian should complete this form.

Photography & Video Consent Form

I am happy for photography and/or videography that I have provided or which has been taken of me, to be used on St Barnabas social media, website, printed materials, electronic communications and other media.
I am happy for my story, photos and/or video to be shared on social media and our website. I understand this may be shared further by other news outlets, which is beyond the control of St Barnabas Hospice.
I am happy to have my story, photos and/or video to be sent as press release directly to news outlets.
I am happy to have my story, photos and/or video to be used as part of grant applications to generate further income for St Barnabas Hospice.

Agreement

I have read the Photography & Video Consent Form and understand the content and meaning. I give St Barnabas Hospice permission to use and distribute my story and photographs as indicated in the form.
Name(Required)
DD slash MM slash YYYY
Email

Optional - Next of Kin Agreement

Name
DD slash MM slash YYYY
Should you have any questions about the above, please contact the Marketing Team on marketing@stbarnabashospice.co.uk.