PHOTO & VIDEO CONSENT FORM FOR ADULTS
In line with our commitment to safe ministry practices, the information collected in this form will be used by appointed program leaders and stored securely by Southern Cross Presbyterian Church. Please note that this form is best completed on a phone/tablet.
Name
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First Name
Last Name
Email
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example@example.com
PHOTO & VIDEO PERMISSION
At Southern Cross Presbyterian Church (SCPC), we use photos and videos taken at our various activities and events to promote and celebrate our ministries. ‘Images’ (photographs and/or video recordings) may be used both internally and externally for publications and materials including (but not limited to) church family news, advertising materials, church family publications, church website and other online platforms. All images will be stored securely and used only as stated.
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I understand.
If circumstances change, you can inform us of your wish to withdraw this consent. We will then seek to remove the image where it appears in digital formats but may not be able to retract printed material. Individuals may also request specific images be removed.
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I understand.
I give permission for images containing myself to be used both internally and externally for SCPC publications and materials including (but not limited to) church family news, advertising materials, church family publications, church website and other online platforms.
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Yes, I give permission.
No, I do not give permission.
The permission given in this video and photo form will operate until I expressly revoke it.
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I understand.
Privacy
Personal information collected is used only for purposes relating to the spiritual, pastoral, social, educational, administrative, legal and historical functions of the Church subject to the Church‘s Privacy Policy in accordance with the Privacy Amendment (Private Sector) Act 2000. Your acceptance of this written advice will be regarded as your consent to collect and so use the information as described. If you do not consent please advise immediately. A copy of the Church‘s Privacy Policy is available on the PCNSW website or upon request. Personal information will not be used for any other purpose without first obtaining your consent. Please tick all before continuing.
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I agree that the information contained on this form is true and correct.
I agree that I will ensure that any changes to this information are advised in writing as soon as possible.
I understand the consent given in this form will operate until I expressly revoke it.
Name
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First Name
Last Name
Signature
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Clear
Date
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Day
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Date
Submit
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