Positive Stories

Amongst all of the fear and anxiety, lots of stories of hope and kindness are emerging. Using #BrumTogether, we’re sharing some of these stories on social media – and we’d love to hear from you. If you have a positive story or image you’d like to share, you can complete the form below.

Please note: By completing this form, you give us permission to use your image, video, quote, or story on our social media pages and websites, in print, presentations, and for use on television, newspaper and radio for up to five years

What does The Active Wellbeing Society publish?

Our intention is to share stories of hope and kindness which are both local and positive. We will not publish stories that contain incorrect information or support profiteering for individuals and/or organisations. Please read our guidelines if you are unsure if your story is relevant. Read our rules and guidelines

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Consent Form

About Your Consent

I am giving consent for: Please choose the option you are happy with *

Your Name

I give consent for use of my (Please select the options you are happy with) *

Image
Video
Quote
Story

If you have a picture you would like to submit: please upload here

Click or drag a file to this area to upload.

Tell us more about your experience with any stories or feedback. Telling personal stories can be extremely powerful. We are building a network of people willing to share their experience to help us strengthen the case for improvements and more services

Can I remain anonymous? You can choose to have your real name published with your picture/video/quote/story or remain anonymous (in which case, we will use a false name). Please select one of the following options: *

Are there any identifying features you do NOT want included in our communications work? For example, your location or the age of your children

Please let us know if there are any ways in which you do NOT wish to be represented or described. For example ethnicity, religion, interests,

I am happy to give permission:

Please sign this form to show you are happy to give permission for your story, quote, video or image to be used by The Active Wellbeing Society and relevant partners for the purposes outlined above. By signing this form you grant full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve The Active Wellbeing Society's aims. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications. Your information will not be used or stored for any longer than five years from this date, unless you ask us to stop using it before then.

Date *//

Signature *

Age *

Gender *

Ethnicity *

Postcode *

Contact Number *

Are you happy for us to contact you for more information? *

If you have any questions about the form, please speak to a member of our staff in person or contact: The Active Wellbeing Society on 0121 728 7030 or [email protected]

The Active Wellbeing Society Limited is a charitable community benefit society (registered No. 7595).

Name

Positive Stories

Submit Your Story

Contact us Now

Consent Form

About Your Consent

I am happy to give permission:

If you have any questions about the form, please speak to a member of our staff in person or contact: The Active Wellbeing Society on 0121 728 7030 or [email protected]

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