PATH Leadership Group · Photo permission form
Can we take your photo?
We need to know what's OK with you. Tick the boxes that feel right.
Why we ask
Sometimes we want to take photos of the group. We use them to:
- Remember what we did together.
- Show other people what the program is like.
- Share with funders so they keep funding the program.
We will not share any photo without asking first. You can change your mind at any time.
Your name
Write your full name in the box below
What's OK with you
Take photos of me during the leadership group.
Use the photos with DAS — on the DAS website, in DAS reports, in DAS newsletters.
Use the photos with funders — to show Inclusion NT what we are doing.
Share photos on social media — Facebook, Instagram, where the program is talked about.
Use my first name with my photo.
Use a quote from me with my photo.
You can tick none, some, or all.
Whatever you don't tick — we won't do. If you want to talk it through, ask a facilitator or your support worker.
Sign here
Your signature
Date
Support worker / coordinator (if helping)
Their signature
You can change your mind.
If you want to take back permission later, just tell us. Call (08) 8953 1422 or email peersupport@das.org.au. We will stop using the photos straight away.
Adapted for Central Australia by DAS, in partnership with Inclusion NT under the PATH MOU 2025–26. Original curriculum © Inclusion NT.