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Search for:
Search
Search
Talk to us
1800 655 566
Elder Abuse Helpline
1300 724 679
Home
Support
Aged care
New Aged Care Act
Navigating aged care services
Care options
Finding support
Decision-making
Resolving problems
Your rights
Understanding your rights
About elder abuse
About elder abuse
Addressing elder abuse
Advocare’s role
Alliance for the Prevention of Elder Abuse WA
In the community
Request a volunteer
What’s on
Book an information session
Resources
Helpful information
Useful organisations
Glossary of terms
For volunteers
Interested in volunteering?
Volunteer opportunities
For organisations
Working with Advocare
Request a volunteer visitor
Book an information session
News
About us
About Advocare
Our people
WA Seniors Peak Body
Support us
Work with us
Key documents
Contact us
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Consent Form
Advocare Image Consent
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Name
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First
Last
Child’s name (if applicable)
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Last
Email
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By signing I understand there is no time limit to the validity of this consent or any limitation to where these images or recordings may be used once made public.
-I grant permission for Advocare to use images of myself (or my child/ward) and use my name on the Advocare website, social media, media release and /or publications.
-I also grant permission for Advocare to interview, film or otherwise make a video and audio reproduction of me (or my child/ward) to use as a promotional video for Advocare to be published on the Advocare website, social media, and /or other online publications.
-I give consent for Advocare to use my name/image/audio recording/or video recording (or my child/ward’s, if applicable) to highlight Advocare’s work and encourage participation in its programs, without expectation of compensation or remuneration, now or into the future.
-I understand my name/image/audio recording/or video recording (or my child/ward’s) may be used on Advocare’s website, social media pages (Facebook, LinkedIn, YouTube), and in Advocare’s publications e.g. Annual Report or media releases.
-I understand my permission means photographic, audio or video recordings of me (or my child/ward) will be displayed in the public space on the internet, and may be shared by other organisations to promote the work of Advocare.
Let us know your preference for using your image and/or recordings (video/audio):
YES. I grant permission for Advocare to use images of myself (or my child/ward) and use my name on the Advocare website, social media, media release and /or publications.
YES. I grant permission for Advocare to interview, film or otherwise make a video and audio reproduction of me (or my child/ward) to use as a promotional video for Advocare to be published on the Advocare website, social media, and /or other online publications.
NO. Do NOT take or use any image of myself (or child/ward)
NO. Do NOT video or record myself (or child/ward) for the purpose of promotion
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