Home
About us
Policies
current page
Photo and film

Photo and film consent form

Published on 24 April 2026

Personal details

First name (required)

Surname (required)

Email (required)

Confirm email (required)

Photo permission

Are you completing this form for a child who is under 18 years old?

Yes

Child's details

Please provide their details

Child’s first name

Child’s surname

I confirm that Action Medical Research has my permission to use the photo(s) or video image(s) of the child named above and understand that this will be held and may be used by Action Medical Research and its trusted third-party organisations for promotional purposes (such as publications, presentations, digital, social media) for a period of seven years.

I confirm that Action Medical Research has my permission to use my photo(s) or video image(s) which will be held and may be used by Action Medical Research and its trusted third-party organisations for promotional purposes (such as publications, presentations, digital, social media) for a period of seven years.

Signature (required)

Sign above

Date (required)

Photo and film general consent form