Consent Form

Consent Form

Harry Meadley – PhD Research
< Add in longer text about the research and proving consent >
I agree to be included in the documentation of this project in the form of:

Photographs Videos Audio Text (inc. quotations of audio / video recordings)
I consent for the documentation to be used for:

The artist’s PhD research Presentations at art exhibitions and/or conferences Websites / Social Media Print Media / Publications Funding applications
I understand that the documentation will be stored [detail forms of storage and whether secure) and shared / disseminated (with whom / how). [If information is sensitive then secure systems expected with time limit]. *

I understand
Name *

First Name Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

City County

Post Code Country
Signature *

Clear
Date

Day Month Year
Date
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform