Consent Form

Consent to Use of Images

Reset signature Signature locked. Reset to sign again
Reset signature Signature locked. Reset to sign again
FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY OMAH is compliant with the Freedom of Information and Protection of Privacy Act (FIPPA) and endeavours to protect personal information in accordance with these laws. Personal information provided will be used to confirm authorization of the use and reproduction by OMAH of photograph(s) and/or audio-visual recording(s).