This form is for individuals agreeing to be photographed, filmed and/or recorded, for the purposes of participating in the production of Fusion Arts photography, video or audio work:

I agree that I wish to participate in the project detailed herein and I hereby consent to the capture of my image in photographs/footage by Fusion Arts and their affiliates. I understand that my participation in this project is voluntary and that I may withdraw my consent to be photographed, filmed and/or recorded at any time prior to the photography, filming or recording.

I further understand that, subsequently, Fusion Arts may process (or authorise the processing of) the photograph(s), footage and/or audio recording(s) for educational and/or marketing purposes in accordance with Fusion Arts public task and legitimate interests. Fusion Arts is committed to processing personal information in accordance with all applicable data protection laws and will ensure that the rights and interests of data subjects are weighted appropriately.

I hereby grant to Fusion Arts the non-exclusive right to use and reproduce my Contribution (including by copying, adapting and by issue and communication to the public) for educational and/or marketing purposes, online and/or via other digital/analogue methods; and to authorise such use and reproduction as may be deemed necessary by Fusion Arts to facilitate use of my Contribution for the purposes hereby permitted.

To the extent that any audio/video recording in which I feature captures a qualifying performance under the Copyright, Designs and Patents Act 1988, I hereby authorise Fusion Arts and/or agents authorised by Fusion Arts to reproduce, distribute and make available the recording of my performance(s) to the general public.

I confirm that I am aged 18 or over.

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