INTERNAL MEDIA CONSENT FORM

Note to Participant : Safehaven – a Ray of Hope would like to collect information from you about your story and experiences with Safehaven – a Ray of Hope. We use the information that you provide to promote the work of Safehaven – a Ray of Hope.
We will only pass your information on to third parties with your consent or where we are required to do so by law. You can also write to us if you would like to see any information which we hold about you. We will provide this information in line with the Data Protection Act 1998.

Safehaven – a Ray of Hope may wish to tell your story and/or use your photograph in the circumstances set out below. Please can you indicate whether you would like us to do this or not, by indicating the appropriate response below: