Photography & Filming Consent Form

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Young People Social Leadership/Volunteers
We want young people to play a leading role in our campaign
We're looking for young people aged 14-25 with personal experience of mental health problems, who live
in the South East Region to work with Time to Change and do their bit to end the discrimination faced by
people with mental health problems. Social Leadership is an opportunity for young people to be trained
and volunteer directly in our campaign. All opportunities are currently based in our pilot region, the South
East Region (with a particular focus in Kent and Medway).
Consent Form
Under 18s (requires parent/ guardian to sign) Please tick the boxes to indicate consent.
(Please tick) I give consent for my child (name)___________________________________________________
to attend Time to Change Young people Social Leadership Programme at different venues
We require (recommend) all young people under the age of 18 to be accompanied by a guardian 18 years
or over when travelling. Please tell us how your child will be travelling and if they be travelling with someone
and who that person will be (those travelling do not need to stay with the young person during the session).
Name of participant
Signature of participant
Date
______________________________
________________________________
___________
Name of participant’s parent/guardian
Signature of parent/guardian
Date
______________________________
________________________________
__________
NB: panelist are able to leave the group whenever they wish, please inform Dave.Wong@rethink.org if you ever wish
to do so.
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