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Torrid Petric Legacy Enterprises Ltd Logo

📋 Approvals & Compliance

Ensuring ethical practices and legal compliance for all community outreach activities

Torrid Petric Legacy Enterprises Ltd LogoLively Touch Therapies Logo

📋 Community Outreach Consent Form

Protection of Minors & Ethical Compliance for Activities Involving Participants Under 18

About Lively Touch Therapies Mind Wellbeing Check

Our application provides a comprehensive mental health screening tool designed to assess psychological wellbeing and identify individuals who may benefit from professional support. The assessment is scientifically validated and provides immediate, personalized results with appropriate resources and recommendations.

✅ Key Benefits: Early detection of mental health concerns, anonymous and confidential screening, immediate access to resources, connection to qualified professionals, data-driven insights for community health planning.

🔒 Confidentiality & Privacy: We are committed to maintaining the highest standards of data protection. All personal information is encrypted, stored securely, and only used for the purposes outlined in our Data Protection Policy. We never sell personal data to third parties.

1️⃣ Team Lead / Authorizing Person Information

2️⃣ Main Purpose of Occasion (Select all that apply)

3️⃣ Activities to be Conducted

⚠️ Important: By selecting an activity below, you confirm that you have the authority to consent on behalf of the institution and that participants under 18 are permitted to participate in the selected activities.

4️⃣ Participant Information

5️⃣ Photo & Video Consent

⚠️ Important Notice: Photos and videos taken during this event may be used on our social media platforms, website, reports, and promotional materials. If there are specific participants who should NOT appear in photos/videos posted online, please list their names below.

6️⃣ Sponsorship & Facilitation

7️⃣ Event Logistics

8️⃣ Your Expectations

9️⃣ Consent Declaration

I, _________________, in my capacity as _________________ at _________________, hereby:

  • Confirm that I have the authority to consent on behalf of this institution for the activities selected above
  • Acknowledge that participants under 18 years of age are permitted to participate in the selected activities
  • Understand and agree to the use of photos and videos as described in this form
  • Have read and understood the information about the Lively Touch Therapies Mind Wellbeing Check application
  • Confirm that all information provided in this form is accurate and truthful
  • Agree to comply with the Data Protection Policy and ethical guidelines outlined by Torrid Petric Legacy Enterprises Ltd

🔟 Signatures & Verification

Note: Please provide at least ONE of the following: Digital Signature OR Fingerprint. Both are not required, but at least one must be provided.

Sign above using your mouse, finger, or stylus

Press and hold your finger for 1 second

💡 How it works: Place your finger/thumb on the box and hold for 1 second. The system will scan and capture your fingerprint pattern.

Witness Information

Sign above using your mouse, finger, or stylus

By submitting this form, you acknowledge that all information provided is accurate and that you have the authority to provide consent on behalf of the institution.