Consent Form

What is this form about? 🤔

Before you can take part in the Voices for Tasmanian Youth Stage 2, we need your consent. 

It is important that you understand what you are agreeing to before you sign this form.  

If you have any questions, or you don’t understand something, make sure you talk to about it with somebody you trust.  

If you would like to take part, please complete the form below by Monday 24 July 2024.

My Consent

I can make sense of the Information Sheet(Required)
(You can read the info sheet here: TBC)
I know I do not have to answer questions or talk about anything that I don’t like or I don’t want to answer.(Required)
I know it is ok to stop being a part of the project at any time. It will not affect my relationship with CCYP.(Required)
I know that if I have any questions about the project, I can ask anyone from the project team.(Required)
I understand and agree that my name, age, gender, and which region of the state I live in will be provided to the organisations that are providing support to young people in this project (SASS and Laurel House).(Required)
I know that if anything in the project makes me upset, I can ask for and will receive support.(Required)
If I say I would like some extra support, it is ok for CCYP to ask SASS or Laurel House to contact me, and give them my contact details to make this happen.(Required)
It is ok for CCYP to use what I say or make in their work. I know they will not use my real name unless I ask them to.(Required)
I know I can talk to a member of the CCYP project team if I change my mind and don’t want what I’ve said or made to be included in the project.(Required)
I understand that CCYP, SASS or Laurel House won’t share any of my private information or personal details, unless I say or do something that makes them concerned about my safety or the safety of someone else.(Required)
I agree to being recorded and understand that the recording will be used to check that no mistakes are made in recording what I say.(Required)
I understand that recordings of me will be kept confidential, unless I agree to CCYP using them in their publications.(Required)
I understand that: I will be sharing my views as part of this project, that participation in this project will be through workshops, and I will have a choice about how many times I participate.(Required)
I agree to being part of this project.(Required)

Workshop Preferences

What days and times might be best for you to attend the workshops?(Required)
Choose all the options that would suit you. We will hold workshops at the times that work for most people.

My Signature

About Me

What does the Commissioner and her team need to know about you to make sure this project is good and safe for you?
This field is for validation purposes and should be left unchanged.

If you want to tell us more, send us an email childcomm@childcomm.tas.gov.au or you can call Sam on 0460 041 402 or Rachael on 0427 008 268. 

Keeping Your Information Safe 

We collect some information from you to make sure it’s OK to record your voice and use your quotes in the things we make, like books or online posts. We will take care of your information and follow the rules in the Personal Information Protection Act 2004. 

If you ever want to see the information we have about you, you can contact us by emailing childcomm@childcomm.tas.gov.au or by phoning us on (03) 6166 1366.