Media consent form

Why we’d like to capture and use your personal data

We love to share and promote all the great things that happen in our communities and throughout Peabody. We may even ask the national and local press to cover our stories, to spread the news that bit further.

How we’d like to use your data

We’d like to use your information in some of our future marketing and communication, such as campaigns, print materials, our websites, internal communications, events, publications, surveys, reports, leaflets, social media, and local and national press.

It will involve us collecting and using your personal data such as your images (photographs), case studies, videos, testimonials, feedback, and audio recordings. We may also collect your name, address, health, and disability information. By health and disability information we mean anything that can be physically identified in an image or video. We won’t be asking you to provide any further details as part of this consent.

Protecting your personal data

Data protection provisions require us to ask your permission to capture and collect your data before using your information in this way. Please see the conditions of use below:

We will retain your data for a period of three years and only use it after the period where you’ve agreed to it.
We will not share your data with anyone else for their marketing purposes.
We will not publish your personal email and postal address or telephone numbers in any of our publications and communications.
We may use group or class images with very general labels such as 'Residents at Peabody properties'.
We may include your full name with the image and may be used across Peabody Group.
We may use the image in literature unrelated to when the photographs were taken.

To find out more about how we use your personal information please refer to our Privacy Policy.

You can ask us to stop using your personal data and that of your family members at any time. If you wish to do this, email us at communications@peabody.org.uk

Please bear in mind that it might not be possible to withdraw materials that have already be published.

Peabody media usage consent form

Your consent

Yes

Event information

Name of event or activity

Date of event or activity

Please confirm how you provided your consent:

In-person

Verbally

Over the telephone

Date consent provided

Your personal data

First name

Last name

Phone number

Your email address

Confirm email address

Parental consent

To be completed by parent or guardian with parental responsibility, for children aged under 16 years.

Full name of parent or guardian

Full name of child

Age of child

Please state your relationship to the child

Address of child

Your relationship with child

Contact phone number

Email address

Can we contact you in relation to this consent form by email?

Yes

If you’d like us to use an alternative name for you or your child, please write it here:

Brief description of what you’re wearing

Brief description of what you’re wearing (If you’re providing an image or video.)

Please provide this information to help us identify yours (or your child’s) image and erase it if you ask us to.

reCAPTCHA