Consent Form
[Your business name] would like your permission for the following. You can say yes or no, and you can change your mind at any time.
What we are asking permission for
[Describe clearly and specifically what you want to do, for example: to send you marketing emails about our products and offers.]
What this means
- We will use [the specific data, for example your name and email] only for
[the specific purpose].
- We will not use it for anything else without asking you again.
- You can withdraw your consent at any time by [for example: clicking unsubscribe,
or contacting us at [email]].
Your choice
- [ ] Yes, I agree to [the specific purpose].
- [ ] No, I do not agree.
Name: [__________________________]
Signature: [__________________________]
Date: [__________]
Tip. Keep a record of what each person agreed to and when. Consent must be a
clear, positive choice, so avoid pre-ticked boxes.
Legal note. This is a general template, not legal advice. Consent is only one
lawful basis; check whether it is the right one for your situation.