This form asks you to consent to the use of your image by YMCA Taunton.  We use stories (words, photography and video) in our communications and impact reporting activities. Your image may be used in our printed publications for promotional purposes, in press releases, in videos, on social media channels, in presentation materials and on our website.  It may also appear in our advertising and in the local/national media. The images will remain the property of YMCA Taunton and will only be used for increasing awareness about the impact of our work.  Your personal contact details will remain strictly confidential. 

I consent for my image to be used for the purposes stated above. 

• By completing this release form, I hereby grant YMCA Taunton the absolute right to reproduce, display and disseminate worldwide and in perpetuity, in any traditional or electronic media format, my likeness as shown in the photographs/videos captured at this time for the purposes given above. 
• If I decide at any point in the interim that I no longer want it to be used, I will contact YMCA Taunton, Lisieux Way, Taunton, TA1 2LB (info@ymcataunton.co.uk / 01823 274667) 

Personal Details & Consent

Parents/carers can complete for a child under 16.

Please contact us any time if you wish to change your mind about the use of your image. A hard copy of this form can be downloaded to print.