Media Consent Form

By submitting this form, I hereby grant permission to the Eastern Ontario Health Unit (EOHU) to photograph and film me/my child, and to record my/my child’s voice. I further grant to the EOHU the right to reproduce, use, display, broadcast and distribute these images and recordings, in whole or in part, in any media now known or later developed, for health-related promotional or educational purposes, or for promoting, publicizing, or explaining the EOHU and its public health activities. These rights are granted free of charge.

Photographs, video images and voice recordings are the property of the EOHU.

I further grant permission to the EOHU to use my/my child’s name with these images and recordings.