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Please confirm that you are happy for image, video and/or comments of you/your child to be used in Smartbox digital and printed publications, our advertising and news media which reasonably promote or advertise Smartbox’s aims.

If you are sending us images or video to use, you remain owner of the content and do not give up any ownership, and consent for us to distribute and potentially modify the content.

Consent continues with no time limit. However, image/comment consent can be changed or withdrawn at any time by notifying our Marketing team in writing at

The copyright of any material which is generated as a result of the photographic session shall be the property of Smartbox Assistive Technology Ltd.


Details of person photographed / filmed

Name of consenting parent/guardian

Data protection statement

Other than as specified above, the information that you give us here will only be used to contact you about these photos/comments. We will not pass the details recorded on this form on to any other organisation without your permission.

By submitting this form you confirm your consent for Smartbox Assistive Technology Ltd to use the images captured during this photo/video shoot.

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