Thank you for taking the time to share your experience, be photographed or filmed. Marie Curie is committed to raising awareness of the experiences of people at end of life, and of their loved ones and carers who support them, as well as those affected by bereavement. We do this by sharing their stories through words, photos and video. We now need to gather your consent.Please enter your details below, read through the following statements and tick where indicated to give your consent.This form will take approximately 2 mins to complete.All fields marked * are mandatory