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Please note, all questions marked with an asterisk(*) are mandatory.
The Citxw Nlaka’pamux Assembly (“CNA”), Nlaka’pamux Health Services (“NHS”), Scw'exmx Child & Family Services Society (“SCFSS”), First Nations’ Health Authority (“FNHA”) is seeking your consent to collect, keep, use and share photographs, videos, images, and/or names of participants in the Health & Wellness Conference, Events and Gatherings.
Such purposes may include using them in publications, posters, its internet website or other media, for promotional, social, recreational, cultural, educational, research, commercial, good will and archival purposes.
I understand that my image could possibly be seen worldwide. I agree not to sue the CNA, NHS, SCFSS or FNHA or its employees, directors, officers, or bring claims or demands of any nature against any of them in connection with any matters referred to in this Media Consent including, the use, reproduction or release of my image.
I also agree to the inclusion of my name in connection with any of the matters referred to herein.
Personal Information will be treated as confidential, subject to legislative requirements.
CNA PRIVACY POLICY