Common Room North Ltd. is a company registered in England and Wales.

Registered No. 12240515.

VAT Registration No. 334656393. 


Get in touch
555-555-5555
mymail@mailservice.com


Consent form -  Common Room photo shoot August 2023

Thank you for agreeing to take part in our photo shoot. This is to help us gather some stock photos for marketing and communication materials.


Photography

We will be taking photographs of you as part of the photo shoot. These photos may be published and shared on online public platforms (including social media) and on the Common room website as well as in reports, slideshows and leaflets, where they will be accessible to members of the public and shareable.  These photos will not include your face and you will not be identifiable.


Anonoymity

We will keep your personal information anonymous. This means that we will not share your name, date of birth, or contact details with anyone outside of Common Room.

Safeguarding

Common Room takes safeguarding its participants seriously and has a safeguarding policy which all staff work to. As part of this policy, we work to the following confidentiality statement.

  • Common Room Confidentiality Statement
  • Common Room offers confidentiality to children, young people and adults we engage with through our work, including staff members. This means we will not normally share information about you to anyone outside the organisation without your agreement. We will keep information about you secure only until it is no longer needed and share this on a need-to-know basis.
  • There may however be times when we need to share information about you with external partners or organisations when we are concerned that you or someone else are in danger or at risk of significant harm. Wherever possible we will try to discuss this with you and gain your consent before giving out any information. However, if we are unable to do this and feel that telling you would increase the risk, we may choose to do so without your consent. 
  • If you are unsure or would like to know more about the above, please ask one of the workers or email liz.neill@commonroom.uk.com

Storage of personal data

The images will be securely stored by Common Room. Images of participants where they are not identifiable (e.g., images of feet or hands) may be used for an undefined period and will not be removed unless explicitly requested by the subject or their parent or guardian (if under 16 years old). 


What next?

If you have any questions about any of the above please contact liz.neill@commonroom.uk.com. 

We need your consent to say that you agree to take part in this activity as outlined above. 

Please fill in your details below and tick the boxes below to say you give your consent to take part. 


If you are under 16 years old please ensure your parent/guardian completes this parent form also.



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