consent and release form for photo video usage

Media Release and Authorization Agreement

Instructions for Use

• Fill in all bracketed information clearly to ensure the legal identity of both parties is accurately captured.
• Ensure the Subject (or their legal guardian) initials each specific clause to indicate informed consent.
• Retain a signed digital or physical copy in your organization’s records for the duration of the media usage.

Parties and Definitions

This Media Release and Authorization Agreement (the "Agreement") is entered into on [Date] by and between:

The Subject: [Full Legal Name of Individual], residing at [Full Address] (the "Subject"). The Organization: [Full Legal Name of Company/Organization], located at [Full Business Address] (the "Company").

The "Media" shall include any photographs, video recordings, audio recordings, digital images, or likenesses captured by the Company or its representatives.

Operative Terms

1. Grant of Rights: The Subject hereby grants the Company, its successors, and assigns, the irrevocable, perpetual, worldwide, royalty-free right to use, publish, reproduce, distribute, edit, and exhibit the Media in any format, including but not limited to print, digital, social media, and broadcast, for any lawful purpose, including marketing, advertising, and promotional activities.

2. Waiver of Review: The Subject acknowledges that they have no right to inspect or approve the finished product or the copy that may be used in connection therewith, or the use to which it may be applied.

3. Release of Liability: The Subject hereby releases, discharges, and agrees to hold harmless the Company and its employees, agents, and contractors from any and all claims, demands, or causes of action that the Subject may have arising out of or in connection with the use of the Media, including but not limited to claims for defamation, invasion of privacy, or right of publicity.

4. Compensation: The Subject acknowledges that they shall receive no financial compensation, royalty, or other consideration for the use of the Media as described in this Agreement.

5. Ownership: The Subject agrees that all rights, title, and interest in the Media, including all copyrights, shall be the sole and exclusive property of the Company.

6. Capacity: The Subject warrants that they are at least 18 years of age (or, if a minor, that the parent/legal guardian has signed below) and have the full legal right and capacity to enter into this Agreement.

[ ] I grant permission for my image to be used in all internal and external media. [ ] I grant permission for my image to be used only in internal company communications.

Signature and Acknowledgment

Subject Signature: __________ Printed Name: [Full Legal Name] Date: [Date]

Parent/Guardian Signature (if Subject is under 18): __________ Printed Name: [Full Legal Name of Guardian] Date: [Date]

Company Representative Title: [Job Title]

Legal Disclaimer: This document is a general framework intended for informational purposes. It does not constitute legal advice. You should consult with qualified legal counsel to ensure this document complies with the specific laws and regulations of your jurisdiction.