Photo & Media Consent Form

Photo & Media Consent Form

This form collects consent for Newport Support Network CIC and approved partners to use photographs, videos, and quotes as described below.
Newport Support Network CIC
Registered Address: 92 Commercial Street, Newport, NP20 1LS
Company Number: 12490570

Purpose of Consent
This consent form grants Newport Support Network CIC and its approved partners, funders, and collaborators permission to use photographs, video recordings, and written or verbal quotes obtained through participation in or interaction with our services, events, or activities.

Use of Content
By signing this form, you agree that images and/or quotes may be used in:
- Publicity materials (e.g. flyers, newsletters)
- Social media and websites
- Awareness and fundraising campaigns
- Reports to funders and project stakeholders
- Partner or third-party media promotion
Legal Basis
This consent is collected in line with UK GDPR and the Data Protection Act 2018. You have the right to:
- Withdraw consent at any time by contacting feednewport@gmail.com
- Request access or correction to your data
- Request limited or no future use
Previously published materials may remain in use. Withdrawal of consent only applies going forward.
Full Name
Consent for the following uses (tick all that apply):
I do not wish to appear in photographs or videos
Are you signing on behalf of a child under 16?
Child(ren)’s Name(s) (if signing on behalf of a child under 16)
Parent/Guardian Name
Parent/Guardian Signature
Parent/Guardian Date

MonthDayYear
Date
Adult (16+) Signature
Adult (16+) Date

MonthDayYear
Date
Should be Empty: