ECHO - Connecting the Children's Heart Community

CHD Network Media Consent Form

By completing this form you’re providing consent for ECHO and the CHD Network  – Guys and St Thomas NHS Foundation Trust, Evelina London, The Royal Brompton and Harefield and their network of hospitals – to feature your photograph to promote the CHD network’s services supporting children and young people with heart conditions and their families.

Your photo may be used at events, online, through TV and radio and in print. Your involvement is essential for ECHO and the CHD Network to show the impact of ECHO and the CHD Network’s services and generate further support. Thank you.

Please read the below statements and tick each box to confirm your agreement.

By ticking this box, I confirm that all the information provided is true and accurate and I am happy for my photographs to be shared.

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Data protection statement

Other than as specified above, the information that you give us here will only be used to contact you about these photo(s) and only shared and accessed within ECHO, GSTT, Evelina London and RBH teams. For more information on how ECHO use your data see our Privacy Policy on our website. If at any time you would like us to stop using photos of you/your child(ren) you can contact us.