Staff Photography and Videography 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 Staff Photography and Videography 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
Should you have any questions about the above, please contact the Marketing Team on marketing@stbarnabashospice.co.uk.