CHILD SAFEGUARDING & PROTECTION POLICY

Appendix 2: Media Consent Form

Media Consent Form

I give my consent to OSCAR Foundation to:

● Film, photograph, tape and/or collect information about me and/or my child

● I understand that this material may be used in communications, printed publications and/or public awareness activities (including on OSCAR’s websites and social media pages, in newspapers, magazines, books, television, radio, leaflets or letters) to promote and/or raise funds for OSCAR Foundation

I have received and understand the following explanations about the use of information and material about me and/or my child:

● I have been shown an example of how this information and material may be used

● Information which identifies me and/or my child will not be used by OSCAR Foundation unless I agree

● I will not receive any money or gift now or in the future by giving OSCAR Foundation my consent to collect and use the information and material about me and/or my child

● OSCAR Foundation will not give the information to anyone unless it is related to its work

● I can withdraw my consent to OSCAR Foundation to collect or use the information at any time by contacting them at the address above and they will stop using the information and material

● I agree that OSCAR Foundation can use my real name or the name of my child if appropriate

Child Name and Age:

Signature or Mark (optional):

Parent, Guardian or Representative

Name and Relationship to Child:

Address:

Phone or Email:

Signature or Mark (required):

Date: Place: