Image & Written Material Release Form

What is a Release form for?

A release form is an agreement between you and LLLGB, under which you give us your permission to use your image, story or other materials you have contributed towards a project, in our print publications, social media, website and other end products such as films. We also offer you the option of giving permission for La Leche League International to use your image in their work, in which case LLLI and any of the 70 countries where LLL is active may use it.

Please read this document as, once it is signed by you, it is a legally binding document between you and us.

Why do we need a Release form?

To make sure you understand and agree that your image, story or other work may appear in LLLGB’s general publicity material or as part of a named project. It offers you and LLLGB protection against your contribution being used in a way you have not agreed to.

What happens if I sign this Release form?

You allow LLLGB to use your image, story or any other materials you have contributed for such purposes as we may decide. LLLGB will only ever knowingly use an image or a piece of work to promote our mission and to give positive messages about breastfeeding and mothering. By signing this Release Form you understand that you will be giving LLLGB permission to decide how to use your contribution without future contact with you.
You can chose if you would like to be credited for your image or words, or if you would like to remain anonymous. When we refer to “images” this includes still pictures and videos.

What happens if I don’t sign?

We won’t use your image or work.

Who can sign?

If you are over 13 years old you can sign the form yourself. We need the signature of a parent, guardian or carer to sign on behalf of anyone under 13.

Where can I read more about how you handle my personal information?

You can read our privacy policy here.

For all images – please check with the person who took the photo that they are happy for us to use it: if was a professional photographer they might hold the copyright to the image.

LLLGB release form May 2018 onwards

If you are human, leave this field blank.

Your name *

Name of child / Young person under 13

Your Email address *

I agree that LLLGB may continue to use my images and/or written materials in its printed materials for a period of 10 years from now, and understand that printed materials may remain in circulation even after that date. I also agree that you can contact me by email to request to extend this. I understand that I can email GDPR@laleche.org.uk at any time to have my images and writing removed and my data deleted. Signed:

Clear

Please note here if your consent above applies to images, written materials or both

I agree that LLLGB may continue to use my images and/or written materials in its website and/or social media promotions for a period of 10 years from now. I also agree that you can contact me by email to request to extend this. I understand that I can email GDPR@laleche.org.uk at any time to have my images and writing removed and my data deleted. Signed:

Clear

Date

Please note here if your consent applies to images, written materials or both

Text

I agree that LLLI may continue to use my images and/or written materials in its website and/or social media promotions for a period of 10 years from now. I also agree that you can contact me by email to request to extend this. I understand that I can email GDPR@laleche.org.uk at any time to have my images and writing removed and my data deleted. Signed:

Clear

Date

Please note here if your consent above applies to pictures, written materials or both

Use without credit?

yes

no

LLL does not normally credit photos unless specifically requested. If you tick yes, you agree we will not use your name in connection with your image(s). If you tick no we will add a credit whenever we use your image on our website and in our newsletter.