Media

Photo Consent

Let us know how we can use your photo to promote the work of CHSF

We sometimes take photographs or video footage for publicity purposes. These images may appear in our printed publications, our website, or our social media channels. We may also send them to the news media.

Before taking any photographs or video footage, we need your permission. Please answer the questions below and fill in your details in case we need to contact you in future.

Your consent

Today's date(Required)

This form is valid for five years from the date of submitting. The consent will automatically expire after this time.

May Children's Heart Surgery Fund use your image(s), or those of your child(ren) if under 18, in publicity material including printed publications, videos, social media and on our charity website?(Required)

Yes

No

We sometimes send publicity material about our services, including photographs where appropriate, to the news media including the local press. Can we use your photograph, or your child's, in this way?(Required)

Yes

No

Your name(Required)

First Last

Your child(ren)'s name(s)

First name

Last name

Email(Required)

Phone(Required)

Country Phone Number