TIN CHAPEL FORM TC-F-009 VOICE NOTE PUBLICATION WAIVER For permitting publication of voice notes and their transcripts as part of the Chapel's records. Each speaker should complete their own form, even where the speakers have already agreed with one another. Name: Contact details: Role or capacity in which you were speaking: Date(s) of voice notes: Other participants: Subject of exchange: Related complaint or record reference, if applicable: PERMISSION TO PUBLISH Please tick the material you permit the Chapel to publish on its website: [ ] A written transcript of my contributions [ ] The original audio of my contributions [ ] My name and the role stated above Have you reviewed the material proposed for publication? Yes / No Corrections or passages to be omitted before publication: DECLARATION I give permission for publication of the material selected above, subject to the corrections or omissions specified. This permission applies only to my own contributions; other speakers must give their own permission. I understand that the published material will be publicly accessible. Permission to publish does not turn a personal remark into an official Council position. I confirm that I have read the transcript, where applicable, rather than merely assuming that I must have sounded reasonable at the time. Signature: Date: FOR CHAPEL USE Received by: Corrections completed: Other speakers' permissions received: Publication approved by: Date of publication: SENDING INSTRUCTIONS Please submit completed forms using the Contact page on the Tin Chapel website. In the message field, write "voice note publication waiver". When the message opens in your normal email application, remember to attach the completed form before sending. The website cannot attach it for you, whatever may seem reasonable at the time. Alternatively, just copy/paste the form into the message body. Do not change the format.