Workshop & Photo
Consent Form

Devonport Regional Gallery — 2026

Workshop Details

Date

Workshop Name

Participant Information

Full Name

Postcode

Age of Participant

Emergency Contact Name

Phone

⚠ Required for participants under 18

Name of Parent / Guardian

Guardian Phone

Health & Safety

Does the participant have any allergies, health conditions or medication we should be aware of?

Consent

I give permission for myself / the workshop participant to be photographed or videographed while participating in the supervised workshop at the Devonport Regional Gallery, and for the image to be used in local media, Devonport City Council / Gallery promotional material, newsletters, or social media. I give consent for the above conditions to apply for the entire year of 2026. Sign me up for the Devonport Regional Gallery newsletter.

Signature

Signature of participant / guardian

Authorised Signature

Date of Signature

Form Submitted Successfully

Thank you for completing the Workshop & Photo Consent Form for the Devonport Regional Gallery.

A confirmation email will be sent to the address you provided shortly. Please check your inbox (and spam folder, just in case).

If you have any questions, please contact the Gallery directly.

Workshop & PhotoConsent Form

Form Submitted Successfully

Workshop & Photo
Consent Form