F-words Research and Knowledge Translation Program

F-words Research and Knowledge Translation Program
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I hereby give CanChild's F-words Team and its representatives permission to use photo(s), story(ies), or video(s) of myself, child/children, and/or family for the purpose of inclusion in F-words related activities.
I understand that my photo(s), story(ies) and video(s) may be used in the following formats:
- F-words materials (for example, F-words tools and tip sheets, brochures, and marketing materials)
- Audiovisual materials (for example, F-words related videos)
- Online content (for example, inclusion in a self-paced online learning program that will be available free of charge through the CanChild website)
I also agree that CanChild's F-words Team and its representatives will retain all rights to change, delete and/or edit the material. I hereby waive any right to approve the finished products.

I understand that I can withdraw my consent at any time by contacting the F-words team (fwords@mcmaster.ca).
By signing this form, I am confirming:
- I am over 18 years of age.
- I am informed on the use of my photo(s), story(ies), and/or video(s), and agree to the use as outlined above.
- I understand my personal information will be kept secure and confidential
I accept the terms and conditionsI DO NOT accept the terms and conditions
Please provide name of a parent or guardian if person consenting is under 18 years of age.

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