Media consent

Form

This form is to confirm your consent for media opportunities. Please only complete the form when requested by a Mears colleague. For any queries, please contact communications@mearsgroup.co.uk

First name

Last name

Are you completing this form as a parent or guardian of a person under the age of 18?

Yes

If yes, please confirm the name of the person under the age of 18

Consent for storing submitted data

I give consent that any images, video, quotations or other information relating to my story, taken of myself, children, family or organisation by Mears Group or its subsidiaries may be used now and in the future for promotional material by Mears (including print media such as newspapers, magazine articles or advertisements), websites and social media (for example Facebook, X and LinkedIn).

Understand images may be online for indefinite period

I understand that images may be available online for an indefinite period and may not be able to be removed. Where images or information related to you contain or constitute personal data, Mears Group will do their utmost to protect these in line with the requirements of UK Data Protection law and any other applicable laws.

Information is correct

The above information is correct, and Mears Group will not be held liable for any subsequent damages or loss by publicity.

If there are any exceptions or exclusions to your consent please state them here

Signed

Date

Name of Mears representative that requested this form

Media consent

Form

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