Media Consent Form

Media Consent Form

This form explains how photos, videos, and audio recordings may be used during sessions, workshops, programs, or events delivered by movewithME with Juanita. Please read carefully before giving consent.

Purpose of Media Collection

movewithME may capture photos or short video clips to share the spirit of our work, support community connection, and promote programs in an authentic and respectful way.

How Media May Be Used

With your consent, media may be used for social media posts, website content, program promotion, educational or training material, and printed or digital resources. Media will always be used in a way that aligns with cultural respect, safety, and integrity.

Your Rights and Choices

You may choose any of the following: consent to photos and videos, photos only, group photos only, or no consent. You may withdraw consent at any time by contacting movewithME. Once content is published, future use will stop immediately.

Cultural and Personal Safety

movewithME honours cultural identity, privacy, and personal boundaries. If at any time you feel uncomfortable with media being taken, please let the facilitator know.

Acknowledgement and Signature

By signing below, you confirm that you understand this form and give consent according to your selected option.

Name: __________________________

Date: __________________________

Signature: ______________________