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Consent Form

I understand that music/art therapy sessions and music/art therapy events at Musical Between are occasionally recorded on audio and/or video and that these recordings may be used for the music/art therapy assessment and evaluation purposes as well as supervision purposes.

I also understand that music/art therapy students may be involved with music/art therapy sessions as part of their clinical placements.

Media Consent

Do you give permission to Musical Between for the photograph(s) or video-recording(s) in Music/Art Therapy Sessions/Events to be used in official Musical Between publicity and promotional material, including website, Facebook page and newspapers?
If yes, please select one of the options below.

NB: Please note that separate consent will be asked for other public activities such as film, research and public presentation purposes.

Thank you for submitting! We will be in contact shortly.

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