Labour Education Centre Media Consent Form

Media Release Consent Form

Please sign the form below
Full Name (referred to as the "Participant")

First NameLast Name
The Labour Education Centre (LEC) is asking for your permission to use your name, picture, or materials you created through LEC programs in photos, videos, and audio recordings. We want to share the great work happening in our organization, and to do so, your name, picture, voice or created material may be shared through:
- Social Media: We might use tools such as Facebook, Twitter, LinkedIn, Instagram, and YouTube to share stories about the good work happening at LEC.
- Website: We would like to put your name, picture or material created while at LEC on the official website of the Labour Education Centre to assist people in learning about the organization.
- Reports and Promotions: Your name, picture or materials created while at LEC may be used to promote the organization and share the positive impact of our programs.
Consent Options: Please check the appropriate box below to let us know what you are comfortable with:*

Yes, I agree: I consent to the use of my name, image, quotes, likeness and materials I created within LEC’s programs as explained above.No, I do not agree: I do not consent to the use of my name, image, quotes, likeness and materials I created within LEC’s programs as explained above.
Withdrawal of Consent: If, in the future, you decide you don’t want to give consent anymore, you can change your mind. Please write to the Assistant Executive Director, Hussein Jadavji at hjadavji@laboureducation.org or communicate with them in person to stop using your name, image, quotes, likeness and materials as outlined above. This would not undo any use that has already occurred but will stop future use.
Your Name*

First NameLast Name
Please select your program*
Signature*

Clear
Date*

DayMonthYear
Date
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Should be Empty:

Media Release Consent Form