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Media Recording Permission Form - Refugee Week

Participant Information

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Full Name
Date of Birth *
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Consent for Voice Recording and Distribution:

KIC Radio seeks your permission to record your voice and capture video during this interview to
share on our KIC Radio social media channels, KIC Radio website, and KIC Radio app.

Purpose of Recording:

KIC Radio are producing a programme for Refugee Week, specifically looking at how young
people from Ukraine have settled into life in the UK, challenges faced, support given, and their
hopes for the future.

Consent:
By signing this form, you agree to the following:

Withdrawal of Consent:
I understand that I can withdraw my consent at any time by contacting KIC Radio; Benjamin
Williams, Ben@kicfm.com, 07935754677. I acknowledge that withdrawal will not affect
recordings already distributed or used.

Signatures:

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If you have any questions or need further information, please contact us at Email: Ben@kicfm.com or Call: 07935754677.

 

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