Release And Consent Form Template for Belgium

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Key Requirements PROMPT example:

Release And Consent Form

"I need a Release and Consent Form under Belgian law for a medical research study involving collection of participant health data, to be conducted between March and September 2025 at multiple hospitals in Brussels."

Document background

The Release And Consent Form is a crucial legal instrument used in Belgian jurisdiction when an organization needs to both obtain explicit consent and secure a release of liability from individuals participating in activities or providing personal data. This document type is essential for compliance with both Belgian civil law and EU data protection regulations, particularly the GDPR. It serves multiple purposes: documenting informed consent, acknowledging risks, releasing liability where legally permitted, and establishing clear data processing parameters. The form must be drafted in accordance with Belgian language laws and may need to be provided in multiple languages depending on the region (Dutch, French, or German). It's particularly important in situations involving physical activities, data collection, medical procedures, or participation in events where both consent and liability considerations are relevant.

Suggested Sections

1. Parties: Identification of all parties involved, including full legal names, addresses, and relevant contact details

2. Background: Context of the agreement and relationship between the parties

3. Definitions: Clear definitions of key terms used throughout the document

4. Purpose and Scope: Clear statement of what activities or matters are covered by the release and consent

5. Consent Declarations: Explicit consent statements for specific activities or data processing, including GDPR-compliant consent language

6. Release Provisions: Specific details of what liability or rights are being released

7. Rights and Obligations: Overview of the rights retained by both parties and their ongoing obligations

8. Duration and Withdrawal: Period of validity for the consent and process for withdrawing consent

9. Governing Law and Jurisdiction: Confirmation of Belgian law application and jurisdiction

10. Signatures: Execution blocks for all parties, including date and place of signing

Optional Sections

1. Medical Release: Additional section for activities involving medical risks or health information processing

2. Image Rights: Specific provisions for photography, videography, and image usage rights

3. Minor Consent: Additional provisions when the subject is a minor, including parental consent requirements

4. Commercial Usage: Specific terms for commercial exploitation of content or data

5. Insurance and Indemnification: Additional provisions regarding insurance coverage and indemnification obligations

6. Data Transfer Provisions: Specific provisions for international data transfers outside the EU

7. Emergency Contact Information: Section for emergency contact details when relevant to the activity

Suggested Schedules

1. Schedule A - Description of Activities: Detailed description of activities or events covered by the release and consent

2. Schedule B - Data Processing Details: Specific information about personal data processing, including categories of data and processing purposes

3. Schedule C - Risk Disclosure: Detailed description of potential risks associated with the activities

4. Appendix 1 - Withdrawal Form: Template form for withdrawing consent

5. Appendix 2 - Emergency Procedures: Detailed emergency procedures and protocols when applicable

6. Appendix 3 - Privacy Notice: Detailed privacy notice compliant with GDPR requirements

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Education

Sports and Recreation

Entertainment

Media and Publishing

Research and Development

Clinical Trials

Tourism and Events

Photography and Videography

Fitness and Wellness

Corporate Training

Adventure Sports

Marketing and Advertising

Medical Research

Non-profit Organizations

Relevant Teams

Legal

Compliance

Risk Management

Human Resources

Operations

Data Protection

Research

Marketing

Communications

Customer Relations

Safety and Security

Project Management

Relevant Roles

Legal Counsel

Data Protection Officer

Risk Manager

Compliance Officer

Human Resources Director

Operations Manager

Event Coordinator

Research Director

Medical Director

Marketing Manager

Project Manager

Safety Officer

Privacy Officer

Communications Director

Customer Relations Manager

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Authors

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