Image and Video Release Form

Back to Back Theatre uses photographs & video footage to promote their vision to the wider community.

Image and Video Release

Your full name*
Participant full name (if different from above)
Organisation (if applicable)
Permission:*
I give permission for Back to Back Theatre to use video footage or still images of me
- In our promotional material (This includes but is not limited to newsletters, annual reports, etc.)
- On our website
- On our social media (Facebook, Instagram and Twitter)
Signature*
Date*
MM slash DD slash YYYY