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Consent Form for the Use of Your Image

This form asks you to consent for the use of your image/s by Aurayoga. We share stories (words, photography and film) in our communications and impact reporting activities.

Your image may be used in our printed publications for promotional purposes, in publications, press releases, on 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 image(s) will remain the property of Aurayoga and will only be used for increasing awareness about the impact of our work. Your personal contact details will remain strictly confidential.

By giving consent on this form, you hereby grant Aurayoga the absolute right to reproduce, display and disseminate worldwide and in perpetuity, in any traditional or electronic media format, your likeness as shown in the photographs/films captured at this time for the purposes given above.

If you decide at any point that you no longer want it to be used, please contact Geri at Aurayoga.

I confirm my understanding of the above. Please select one of the options below(required)