Digital Archive and Engage Puslinch Interactive Heritage Portal Consent Form

Registered owners with properties included on the Township’s Heritage Register and newly designated properties are invited to include their properties on the Township’s Digital Archive and Interactive Engage Puslinch Mapping. By completing the form below registered owners are opting into their properties inclusion on the Township’s Digital Archive and Interactive Engage Puslinch Mapping.

Note: This consent form can only be completed by the registered property owner.

Consent Confirmation

I understand that by granting permission to the Township of Puslinch to include my property on the Township’s Digital Archive and/or Interactive Engage Puslinch Mapping that only the historical information about my property will be included. No information related to property ownership will be included.

I understand that I grant the Township permission to take exterior photos of buildings on my property with heritage features.

Consent to Future Photo Use

The Township often uses photos in it’s advertising and promotion of Township services and programs. Please indicate below if you consent to the Township using the exterior photographs collected for future Township publications.

Personal information on this form is collected under the authority of the Municipal Act and will be used to confirm participation on the Township’s Digital Archive and Engage Puslinch Interactive Heritage Portal and is maintained in accordance with the Municipal Freedom of Information and Protection of Privacy Act. Questions regarding the collection of this information may be directed to the Township Clerk’s office.