Photography, film, and audio consent form for those aged 16 and over

{"elements":[{"isDiscrete":false,"hidden":false,"name":"1754556799135_0.13879005825891466_0.8666700469887486","readOnly":false,"id":580417463,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"1754556821560_0.23273706245100334_0.6472395325558999","readOnly":false,"id":580418233,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"1754556874703_0.14318296502199834_0.36832634642953443","readOnly":false,"id":580418332,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"Consent for digital communications mediums","readOnly":false,"id":589549796,"type":"radioElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"Consent to print publications mediums","readOnly":false,"id":589549830,"type":"radioElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"Consent to other types of communication mediums","readOnly":false,"id":589549917,"type":"radioElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"Are you at least 16-years-old","readOnly":false,"id":580418481,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"Your full name","readOnly":false,"id":580419481,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Contact","readOnly":false,"id":580419546,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"Social media handles","readOnly":false,"id":580419608,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Date images / recordings captured","readOnly":false,"id":580419662,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Location where images / recordings captured","readOnly":false,"id":580419649,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Warwick ID (if applicable)","readOnly":false,"id":580419687,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"1754557216625_0.9377449857624015_0.7503520375129259","readOnly":false,"id":580419815,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"I hereby consent to the University using images of myself captured in photographs, audio or film recordings on the date and location listed above, for the purposes listed in the guidance information.","value":"0-iherebyconsenttotheuniversityusingimagesofmyselfcapturedinphotographsaudioorfilmrecordingsonthedateandlocationlistedaboveforthepurposeslistedintheguidanceinformation."}],"name":"Please confirm","readOnly":false,"id":580419875,"type":"radioElement"}]}

University of Warwick would like to take images/recordings of you for promotional purposes. Please refer to the guidance information for specific details of how these may be used by University of Warwick.

Unless you expressly provide your consent by providing approval for us to use your image/recordings, your images/recordings will not be shared with or disclosed to any third parties external to University of Warwick except those acting on behalf of the University, such as photographers and creative agencies for the purposes of producing the promotional materials. Please note that your images/recordings may be publicly available if published in some of the mediums listed in the guidance information.

To comply with Data Protection Legislation, we need your permission before we capture your image or recording. Please read all the information contained within this consent form thoroughly before providing your explicit consent, contact details and signing and dating the form.

Future use of materials

University of Warwick will securely store your images/recordings for five years, after which point it will be archived and only be used for historical purposes (such as within a communication looking back at the history of the University). You can withdraw your consent for your images/recordings being stored for archive purposes or used in publications, however, please note they cannot be removed from printed materials which have already been created.

From time to time, we may wish to continue to use your image in current communications for more than five years, if this is the case we will contact you at that time to request your renewed consent for use in publications after five years.

Obtaining consent

If you agree to University of Warwick capturing your image/recording then please select "Yes" in any of the relevant boxes below:

Yes

Your full name

Method of contact (non-Warwick.ac.uk email, phone number, address or other)

Social media handles (Facebook, X, Instagram, TikTok, LinkedIn – please only add these if you’re happy for us to tag you online)

Date images / recordings captured

Location where images / recordings captured

Warwick ID (if applicable)

By submitting this form, you are confirming that:

You have read the guidance information and asked any questions you needed to
You consent to the way in which University of Warwick plan to use images / recordings of you indicated by the boxes you have ticked above
The copyright in any images / recordings taken will belong to University of Warwick and you will not receive payment or any other compensation in connection with the images / recordings
You have the right to withdraw your consent for University of Warwick to use the images / recordings of you at any time by contacting the brand@warwick.a.c.uk If this does arise you understand that the images / recordings of you will not be used in future publications but may continue to appear in publications already in circulation
Your data is held securely by the University’s Marketing and Communications team for a duration of five years.

If you have any concerns, please contact brand@warwick.ac.uk before signing this document.

I hereby consent to the University using images of myself captured in photographs, audio or film recordings on the date and location listed above, for the purposes listed in the guidance information.

Privacy notice

Data Protection information:

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.