Multimedia consent and release form

Multimedia consent and release form

I am willing for any photography I provide to Bliss of myself and my baby to be used as content in Bliss' communications
I am willing for any written story I provide to Bliss of myself and my baby to be used as content in Bliss' communications.
A media case study is someone who is willing to have their story included as a quote in a Bliss press release or to be interviewed directly by local or national media about their experience of having a premature or sick baby. The story could be used on local or national media outlets, including TV and radio stations, newspapers, magazines and news websites. We contact our media case studies about potential media opportunities before agreeing to anything with a journalist. That way our case studies are in full control and can decide whether or not they would like to speak to the journalist and participate. We also prepare our case studies before they are interviewed to ensure they are completely supported. Saying yes means you give permission for us to contact you about future media opportunities.

I give my consent for Bliss and Bliss Scotland to use or capture footage, audio, photographs, words and other types of media (hereafter known as content) involving me and/or my baby.

I give Bliss and Bliss Scotland all rights to use content relating to me and/or my baby in Bliss materials, including but not limited to: Bliss information and marketing materials; on; on Bliss’ social media channels; on co-branded materials in support of Bliss’ aims; on third party websites or broadcast media where the content is about Bliss and Bliss’ work; and in any future Bliss project.

I agree that they may identify me and my baby by name. This consent is given indefinitely but I can withdraw it at any time by emailing

I have discussed the above with the child's other parent/s (if appropriate). I am over 18 years of age.

Bliss and Bliss Scotland promise to use the personal data you have provided to communicate in the way/s you have agreed to. We will not pass your details on to any third party for their marketing purposes. Find out how we look after your personal data at