Least Restrictive Practice - Nelson Marlborough audio recording consent form

Thank you for agreeing to contribute to this work.

We must ask for your permission to use your audio recordings. If you are happy for us to use your recordings, please complete this release consent form.

You may request a copy of any recordings Te Pou has of you at any time by contacting info@tepou.co.nz. 

If you have any questions about this form, please email communications@tepou.co.nz. 

Te Pou’s privacy policy can be found on our website. 

The audio recordings will be used to promote the Least Restrictive Practice programme of work at Te Pou. The recordings will be hosted on the Te Pou website and on a podcasting platform (to be determined), and may also appear on social media platforms, such as LinkedIn and Facebook. I understand the following conditions:

• I will not be paid for the use of recordings of me (unless otherwise agreed in writing)
• I do not agree to any recordings of me being used for any purpose other than what is mentioned above.
• My personal details will not be shared with any third parties (unless otherwise agreed in writing)
• I confirm that I am over the age of 18 years.

By signing this consent form you acknowledge that you have sought and obtained appropriate permissions from your employer to participate in this work.

As a courtesy, we will provide you with a copy of the final version of the content before it is published.

If at any stage you want Te Pou to discontinue the use of your recordings, please contact the team communications@tepou.co.nz to discuss options. Please be aware that printed and distributed material may not be able to be retracted after publication.