Consent Form for Filming & Photography

Without expectation of compensation or other remuneration, now or in the future, I hereby give my consent to the European Synthetic Cell Initiative, to use my image and likeness and/or any interview statements from me in publications, advertising or other media activities (including the Internet – website, Twitter, Slack, You Tube). This consent is given in perpetuity, and does not require prior approval by me. I can ask the European Synthetic Cell Initiative, to stop using my images at any time, in which case efforts will be taken to prevent them being used in future digital and offline publications but they may continue to appear in publications already in circulation.

"*" indicates required fields

MM slash DD slash YYYY