Gallery Consent | Tongue-tie Practitioners

a man is sitting on top of a globe with a laptop .

GALLERY CONSENT FOR IMAGES

Photographic consent is required when you submit this form. Please ensure it includes the date, & the printed name with the signature of the legal caregiver who holds parental rights.

Thank You

Gallery Consent Form

I/We

The parents / legal guardians of

New Field:

Hereby give the Association of Tongue-tie Practitioners ( ATP) permission to use any still and/or moving image(s) being video footage, photographs and/or frames and/or audio footage depicting my/our child named above on

The ATP may use our child’s image on the following Association of Tongue-tie Practitioners materials: 1) Website www.tongue-tie.org.uk 2) Leaflets/ Adverts/ Marketing 3) Training & educational packages The above consents will apply throughout the world and be for an indefinite period

Parent/Adult with legal Parental Responsibility Signature

Please upload a photograph of your signature(s), Printed name in capital letters and the date. This will need to be in Black ink and on white paper

Photo Upload 1

Upload PHOTO

photo Upload 2

Upload PHOTO

SIGNATURE, Print and date Upload

Upload **SIGNATURE** Consent

New Field:

I have read and agree to the Privacy & Cookies Policy (Link below this form in the footer)

Thank you for contacting us.

Please bear with us whilst we process your application. The ATP committee all work as volunteers alongside managing their own working lives and families. We will do our very best to ensure that this service is as swift as it can be.

FIND US ON FACEBOOK

Please send us your tongue-tie photos! Pre and post division, unusual anatomy and healing wounds for consideration to be uploaded to our online gallery:

Upload your photos to ATP Gallery

Useful Links

🔗 BLEEDING MANAGEMENT GUIDELINES

🔗 CLINICAL REPORTING FORM

🔗 CONSTITUTION & APPENDICES

🔗 MEET THE COMMITTEE

🔗 SHOP PURCHASE & RETURNS POLICY

🔗 PRIVACY & COOKIES NOTICE

How to scan QR Codes:

® Association of Tongue-tie Practitioners (ATP)