Client Media Consent Form

Client Media Consent Form

Client First Name *

Client Last Name *

Who is filling out this form? *

What is your relationship to the client? *

Purpose of this Consent

Atypical Solutions TM Pty Ltd is committed to celebrating the stories, achievements, and experiences of the people we support. We seek your permission to collect, use, and share photographs, videos, written stories, quotes, and other media featuring you or your child for the purposes of:

Sharing our mission and values
Promoting our programs and services
Advertising and marketing (including social media, website, brochures, newsletters, and events)

Your Consent

I give consent for Atypical Solutions TM Pty Ltd to:

Take photographs and/or videos of me / my childUse my / my child's story, feedback or testimonial

I give consent for Atypical Solutions TM Pty Ltd to share this media as follows

Social media posts (e.g., Facebook, Instagram, TikTok)Website and online marketingPrinted materials (brochures, flyers, posters)Newsletters and internal documentsPresentations or displays for events or training

OR

I DO NOT GIVE CONSENT FOR MEDIA TO BE TAKEN OR SHARED

Conditions of use

I understand that my/my child’s full name will not be used unless explicit permission is given.
I understand that all media will be used respectfully, aligning with the values of inclusion, dignity, and empowerment.
I understand I can withdraw my consent at any time in writing, and Atypical Solutions TM Pty Ltd will stop using any new content from that point forward. However, materials already published may not be able to be withdrawn.
I acknowledge that I will not receive compensation for the use of this content.
Social media posts (e.g., Facebook, Instagram, TikTok)
Website and online marketing
Printed materials (brochures, flyers, posters)
Newsletters and internal documents
Presentations or displays for events or training

Signature *

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Date