Participation & Media Consent Form

 

Thank you for considering participation in a photo or video session supporting Kids Matters Community Foundation (TKMCF). TKMCF is the not-for-profit sister of Kids Matters Occupational Thearpy and was established to bridge the gap for children and families to access assessments and therapy supports when cost is a barrier. Images and videos help us raise awareness, build community understanding, and generate support for vulnerable families.

 

Name of child
Name of parent/ guardian
Please tick yes to show you understand the information below.
I understand that participation may include photographs and video/ audio recordings. Sessions will be age-appropriate, respectful and strengths-based, conducted in a safe environment, and supervised by appropriate adults. I understand there is no payment for participation.
I give permission for TKMCF to use the approved images/videos:
Images and videos may be used for TKMCF website, social media platforms, fundraising campaigns, printed promotional materials (flyers, posters, brochures), event presentations, annual reports or impact reports, or media publications (e.g. newspapers, online features).
Important information (read below)
By signing this form, I confirm that: - Participation is voluntary and will not affect my child’s therapy services at Kids Matters Occupational Therapy. - I may withdraw consent at any time by notifying TKMCF in writing. - I understand that while TKMCF will remove content upon withdrawal where possible, previously published materials (e.g. printed brochures or shared media) may not be fully retractable. - TKMCF will use all images respectfully and in alignment with its mission to support children and families. - Images will not be sold to third parties.
Child's consent
I am the parent/legal guardian of the child named above and provide informed consent for participation and media use as selected in this form.

Contact us

Contact

07 3392 6133