VICTA photo and video consent

Thank you for supporting VICTA and taking part in our activities, workshops and services. Please complete the short form to give permission for the use of photographs and videos.

VICTA photo and video consent form for families

Full name (of child/children) *

Name of parent/carer *

Name of other family members featuring in photgraphs/videos

Email *

Photo consent for usage by VICTA

VICTA may use photographs and videos featuring the child/children and adults included in this form for use in online workshops, on our websites victa.org.uk, victaparents.org.uk and victastudents.org.uk, by email and on VICTA's social media channels @VICTAUK. Photos and videos will be used for the purpose of sharing information with other families and for the promotion of the charity's services and support. Do we have your permission for your child/children and parent included in this form to be used for these purposes. *

• Yes
• No

Signed (insert name) *

Date *

My relationship to the applicant (if applicable)

• Parent
• Legal guardian
• Other

If 'other' please state

Submit