Media Consent Form

CONSENT

I hereby give consent for my image to be used for the purpose of promoting the work of Benetas, its services and programs.

I understand that my images may be published for use by Benetas in their promotional activities such as newsletters, posters, brochures, internal advertisements, and on social media such as Facebook in perpetuity.

Signature of Consent

If signed by a guardian, family member or an authorised person on behalf of a client, please include your details:

Name of representative