Media Consent Form

Disability Development Weeks in Lanzarote

Swim Lab International recognises the need to ensure the welfare and safety of all young people and adults in any activity associated with our organisation.

We are required by law, to gain your consent to take, store and use images of you or your child.

We as a service feel that the use of imagery and video is vital to deliver our service to you.

All imagery and video stored can be provided to you at anytime, upon request. These video and images also assist us in documenting client progression and medical reports.

We may also use these images and videos for promotion throughout our online and offline marketing to assist others in understanding how we work and how we may be able to help them.

Please complete the form below:

Your Name (required)

Child/Client Name (SURNAME and NAME) (required)

Address (required)

E-mail Address (required)

Do you give Swim Lab International permission to take photographs and/or videos of me (in case of a child of them)? (required)
Yes, I give Swim Lab International permission to take photographs and/or video of me (of my child)No, I do not give Swim Lab International permission to take photographs and/or video of me (of my child)

Do you give permission for Swim Lab International to store photographs and/ or videos of myself (or child in case of a child) on our password protected hard drive? (required)
Yes, I give Swim Lab International permission to store photographs and/or video of me (of my child) on our password protected hard driveNo, I do not give Swim Lab International permission to store photographs and/or video of me (of my child) on our password protected hard drive

Do you give Swim Lab International permission to use photographs and/or video of myself (or child in case of child) for educational, reporting, marketing and promotional purposes, in both online and offline format? (required)
Yes, I give Swim Lab International permission to use photographs and/or video of me (or child) for educational - reporting - marketing - and promotional purposes both In online and offline formatsNo, I do not give Swim Lab International permission to use photographs and/or video of me (or child) for educational - reporting - marketing - and promotional purposes both In online and offline formats

Please type your name to confirm all above information as been input by yourself (required)

Newsletter

Media Consent Form

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