GDPR · Image Rights · Photography
Photography Consent Form
In accordance with Regulation (EU) 2016/679 (GDPR), Italian Legislative Decree 196/2003 as amended by Legislative Decree 101/2018, and Italian image-rights rules, for photographing and possible publication of images within a personal/professional portfolio.
Section A — Personal data processing notice
This form can be adapted for schools, workshops, cultural events, documentary outings, or personal projects.
Section B — Participant consent declaration
Select YES or NO separately for photography and publication. The signature confirms the choices marked on the participant's row. Do not leave the consent fields incomplete.
| No. | Name and surname | Adult / minor | Photography and archive | Publication consent | Signatory name | Capacity | Signature | Date |
|---|---|---|---|---|---|---|---|---|
| 1 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 2 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 3 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 4 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 5 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 6 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 7 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 8 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 9 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 10 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 11 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 12 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 13 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 14 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 15 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 16 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 17 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 18 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 19 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 20 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 21 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 22 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 23 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 24 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 25 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 26 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 27 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 28 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 29 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 30 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 31 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 32 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 33 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 34 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 35 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 36 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 37 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 38 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 39 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 40 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 41 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 42 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 43 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 44 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 45 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 46 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 47 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 48 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 49 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 50 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 51 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 52 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 53 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 54 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO | |||||
| 55 | ☐ Adult☐ Minor | ☐ YES☐ NO | ☐ YES☐ NO |
Note: For a minor participant, a parent or legal guardian signs and indicates that capacity. An adult participant signs personally.
Section C — Institutional signatures
| Role | Name and surname | Signature | Date |
|---|---|---|---|
| Organizer | |||
| Institution representative | |||
| Photographer |
Institutional signatures confirm the organization of the activity and do not replace the individual choices and signatures of participants or legal representatives.
Activity data
Valentin Borsan - Stories in Focus | valentinborsan.art | contact@valentinborsan.art — Document prepared for informational and administrative use in the context of photographic consent.