Declaration of in-person participants
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First step: Seat selection Filming is directed towards the audience and individuals are identifiable. Please select: ☐ I would like a seat OUTSIDE the filming area. I do not complete the remaining fields of this form. ☐ I accept a seat WITHIN the filming area and complete the options below. |
I, the undersigned, declare that I have read the Privacy Notice in Part A and freely consent to the following (each item to be selected separately):
☐ Any question or contribution I make may be recorded and published/broadcast (image, voice, content), and the relevant material may be posted on the Institute's website and social media.
☐ Use of photographs and still images in promotional material for future activities.
Full name: ___________________________________________________________
E-mail (optional): ___________________________________________________
Date: __________________________ Signature: __________________________
For a minor: full name of person exercising parental responsibility __________________________ Signature ______________________