Consent Details

Please read and indicate your agreement below:

I give permission for The Village Collective and its affiliated practitioners to take photos and/or videos of myself and my child/children during the Mothers Group sessions.

I understand that these images may be used for: • Social media posts (e.g., Instagram, Facebook) • The Village Collective website • Printed promotional materials • Online educational or promotional content

I understand that: • Images will be used respectfully and will not be used to promote third-party products or services without additional consent. • I can request to review images before use by contacting the team. • I can withdraw my consent at any time in writing, and images will be removed from future use wherever possible.

Please select your preference below:

(You may choose one)

Full Consent: I give permission for photos and/or videos of myself and my baby (including identifying images such as faces or names) to be used for promotional purposes by The Village Collective.

Partial Consent – Non-Identifiable Only: I consent to the use of non-identifying images only (e.g. photos where our faces are not visible or recognisable, or where we are not the clear focus).

No Consent: I do not wish for any photos or videos of myself or my baby to be used.

Parent/Guardian Information *

First Name

Last Name

Phone

(###)

###

####

Child’s Name:

First Name

Last Name

Child's Date of Birth:

MM

DD

YYYY