Consent Form for Organizations

The Stigma-Free Mental Health Society (the “Society”) collects personal information about its community member organizations in the form of stories, photographs, videos and other media. The Society shares and translates that information on our website and social media pages, in printed publications, at public presentations and internally within the organization. The Society collects this information in order to promote the Society and its initiatives, to highlight achievements of community member organizations, and to support education and staff training. The Society may also share this information with its promotional partners within Canada, including but not limited to television services, for distribution of the Society’s programs, stories, photographs, videos and other media, on a video-on-demand basis, made available to the public and/or customers of the Society’s promotional partners. In particular, the programs publicly offered by the Society may, from time to time, be televised or otherwise made public through the Society and its promotional partners.


The Society follows British Columbia’s Personal Information Protection Act (“PIPA”) in the collection of personal information. By signing below, you are agreeing that you have read the information contained in this document and that you give consent for the Society to collect, translate as necessary, and use your personal/organizational information in the ways described above for no cost or compensation or claim of rights. You give consent that your personal/organizational information may be stored and viewed inside or outside of Canada. You grant to the Society a non-exclusive, irrevocable, unrestricted, royalty-free license to record, reproduce, translate, transmit, and display the personal information as described above, and you agree that the Society may alter or modify that information or combine it with other media, including but not limited to other images, text, audio recordings and graphics.


Your consent is considered valid for current and future use of the personal information you have provided. If you want to withdraw your consent, you can contact the Society by telephone at 778-678-2223, or by email at [email protected] If you withdraw consent, this will only apply to any future use of your story, photo, video and/or other media. Your personal/organizational information may continue to appear in promotional videos, for example, that were created when the consent was in effect.