Filming/Photography Consent Form

Event*
- Filming at Worthing Leisure Centre
- Filming at Splashpoint Leisure Centre
- Filming at Davison Leisure Centre
- Filming at Field Place Manor House
Event Date
DD slash MM slash YYYY
Is the person to be filmed over 18?*
- Yes
- No
Child's Name
Parent's Name
Your Name
First Name Last Name
Address
Street Address Address Line 2 Town County Postcode
I hereby grant South Downs Leisure the right to use the photograph(s)/video(s) resulting from the photo/film shoot and any reproductions or adaptations of the photographs/videos for all general purposes in relation to South Downs Leisure’s work including, without limitation, the right to use them in any marketing publicity materials, brochures, newspapers and magazine articles whenever South Downs Leisure chooses to do so.
These may be used for future promotional material.
Permission*
- I agree