If I have taken any photographs, video, or audio recordings of you,
please complete this media consent form.

If you are completing this form on behalf of someone you are responsible for (for example, a child or an adult requiring support),
please complete it on their behalf.

You may withdraw your consent at any time by contacting me via the email address in the Contact section of my website.

Once submitted, this form will serve as your record of consent.

Thank you.

Full details of my safeguarding, privacy, and related policies are available on my website.
Please take a moment to read these before completing this form.

If you have any questions about any of the policies, you can contact me via the email address in
the Contact section of the site.

Thank you.