Film and photo consent form

Are there any cultural considerations or other restrictions in the use of the recording or photos  (e.g. do not use my name in the image/recording, do not use my image/recording in campaigns with negative connotation or health-related topics).

You must acknowledge Queensland State Laws will accept this communication as containing my signature within the meaning of the Electronic Transaction (Queensland) Act 2001.

We are collecting this information so that we have a record of your consent, for the State to use photos and recordings of you and/or of individuals you have consented on behalf of.

We are committed to protecting your privacy and collect, store, use, and disclose personal information responsibly and transparently in accordance with the Information Privacy Act 2009 when we deliver government services and conduct government business.

1. I agree to the State of Queensland, its employees, officers, agents and contractors ("the State") making images or recordings, whether sound, digital or otherwise, of me and the subject for whom I am consenting;
   1. using, publishing or reproducing the images and recordings in any form (in whole or in part) and by any medium, including but not limited to third party websites and social media websites which may be hosted overseas, newspapers, magazines, brochures, television advertisements, promotional videos, websites, CD-ROM or other multi-media, for public relations, promotions, commercial and advertising purposes ("Promotional Materials"); and
   2. retaining or storing the images and recordings (including those incorporated into Promotional Materials), in hard copy or digitally, including but not limited to, deposit of the images and recordings into a Queensland Government Image Library.
2. I agree that the rights granted to the State under clause 3 of this Video and image consent form are perpetual and that I will not receive any payment, royalty or other consideration (whether monetary or otherwise) from the State in connection with the making, use or storage of the images and recordings.
3. I agree to the State collecting, storing, handling, accessing, managing, transferring, using and disclosing personal information about me, and the subjects including but not limited to our name, details and image, in connection with the images and recordings or the Promotional Materials.
4. I acknowledge and agree that any Promotional Materials which refer to me and the subjects, expressly or by implication, are, at the date of publication, made in good faith and are not intended to defame or offend me or the subjects or bring me or the subjects into disrepute.
5. I agree that the State is the owner of the copyright in the images and recordings and the physical images and recordings.
6. I acknowledge that a representative of the State has explained the contents of this Video and image consent form to me and I am signing this Video and image consent form of my own free will, on the full understanding and comprehension of the terms of this Video and image consent form.