Consent Form Template for Interview

RECORDING, INTERVIEW, AND MEDIA CONSENT AGREEMENT

DOCUMENT CONTROL

• Effective Date: [Effective Date]
• Document Version: 1.0
• Jurisdiction/Scope: [State/Country, e.g., State of California, United States]
• Internal Classification: Corporate Communications & Legal Compliance

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OFFICIAL NOTICE & LEGAL DISCLAIMER

This instrument constitutes a legally binding release and assignment of rights. By executing this document, the Participant grants [Company Name] irrevocable permission to record, use, reproduce, and distribute their likeness, voice, statements, and biographical data for commercial, promotional, and operational purposes, subject to the terms defined herein. Execution of this form is a mandatory condition precedent to participation in the referenced interview.

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1. PARTIES & DEFINITIONS

This Recording, Interview, and Media Consent Agreement ("Agreement") is entered into as of [Date] ("Effective Date"), by and between:

• Company: [Company Legal Name], a [State of Incorporation, e.g., Delaware] corporation, having its principal place of business at [Company Address] (hereinafter referred to as the "Company").
• Participant: [Participant Full Legal Name], residing at [Participant Address], with contact email [Participant Email] and phone [Participant Phone] (hereinafter referred to as the "Participant").

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2. OPERATIVE CLAUSES & TERMS

Section 1: Grant of Rights

1.1. Authorization. The Participant hereby irrevocably grants to the Company, its legal representatives, successors, assigns, and licensees, the absolute and perpetual right and permission to record, film, photograph, capture, and otherwise document the Participant’s voice, image, silhouette, appearance, likeness, name, and biographical material (collectively, the "Recordings") during the interview conducted on or about [Interview Date] regarding [Interview Topic/Project Name] (the "Project").

1.2. Scope of Use. The Company shall have the unrestricted right to use, publish, broadcast, exhibit, distribute, edit, modify, adapt, or create derivative works from the Recordings, in whole or in part, in any and all media formats now known or hereafter devised—including, without limitation, print, broadcast television, internet, digital streaming, podcasts, and social media platforms—worldwide, in perpetuity, without further notice, review, or approval by the Participant.

Section 2: Intellectual Property & Ownership

2.1. Exclusive Ownership. The Participant acknowledges and agrees that all rights, title, and interest in and to the Recordings, including all worldwide copyright and intellectual property rights therein, shall be the sole and exclusive property of the Company. The Participant retains no ownership rights in the finished products, derivative works, or master recordings.

2.2. Waiver of Claims. The Participant hereby releases and discharges the Company, its directors, officers, employees, agents, and assigns from any and all claims, demands, damages, actions, or causes of action arising out of or in connection with the use of the Recordings, including, without limitation, any claims for defamation, invasion of privacy, right of publicity, copyright infringement, or economic loss.

Section 3: Compensation & Consideration

3.1. Full Consideration. The Participant acknowledges that the opportunity to participate in the Project, the potential public exposure, and/or the financial compensation of [Insert Compensation Amount, e.g., $0.00 / $500.00] (to be paid within [Number] business days following execution) constitutes full, fair, and adequate legal consideration for the rights granted under this Agreement. No further royalties, fees, or sums shall be owed to the Participant.

Section 4: Confidentiality & Proprietary Information

4.1. Company Information. If the interview or associated discussions involve proprietary, non-public information belonging to the Company, the Participant agrees to maintain strict confidentiality regarding such information in accordance with any separate Non-Disclosure Agreement executed between the parties, or as mandated by Company policy.

Section 5: Warranties & Representations

5.1. Capacity to Contract. The Participant warrants and represents that they are of legal age (at least 18 years old), possess the full legal capacity to enter into this binding Agreement, and are not bound by any prior contractual obligations, exclusive representation agreements, or union rules that would conflict with or restrict the rights granted herein.

5.2. Originality of Statements. The Participant warrants that all statements, opinions, and representations made during the interview will be truthful, accurate, and, to the best of their knowledge, non-infringing upon the rights of any third party.

Section 6: Miscellaneous Provisions

6.1. Governing Law & Venue. This Agreement shall be governed by, construed, and enforced in accordance with the laws of the [State/Country], without regard to its conflict of laws principles. Any legal action or proceeding arising under this Agreement shall be brought exclusively in the state or federal courts located in [County, State], and the parties hereby consent to the personal jurisdiction thereof.

6.2. Severability. If any provision of this Agreement is held to be invalid or unenforceable, such provision shall be modified to the minimum extent necessary to make it valid and enforceable, and the remaining provisions shall remain in full force and effect.

6.3. Entire Agreement. This Agreement constitutes the entire understanding between the Company and the Participant regarding the subject matter hereof and supersedes all prior negotiations, drafts, or prior agreements, whether written or oral.

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3. SIGNATURES & ACKNOWLEDGMENT BLOCK

IN WITNESS WHEREOF, the parties hereto have executed this Recording, Interview, and Media Consent Agreement as of the Effective Date written above.

COMPANY REPRESENTATIVE:

• Company Name: [Company Legal Name]
• Authorized Signature: __________________________________
• Printed Name: [Authorized Signatory Name]
• Title: [Title, e.g., Director of Communications]
• Date: [Date]

PARTICIPANT:

• Full Legal Name: [Participant Full Legal Name]
• Signature: __________________________________
• Date: [Date]

(If Participant is a minor under the laws of the applicable jurisdiction, a parent or legal guardian must execute below):

PARENT / LEGAL GUARDIAN (if applicable):

• Guardian Full Legal Name: [Guardian Full Legal Name]
• Guardian Signature: __________________________________
• Relationship to Minor: [Relationship, e.g., Mother / Legal Guardian]
• Date: [Date]

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4. STEP-BY-STEP EXECUTION GUIDE

1. Pre-Interview Distribution: Transmit this document to the Participant at least forty-eight (48) hours prior to the scheduled interview to allow adequate review time. Ensure all bracketed fields ([...]) are accurately populated prior to delivery.
2. Verification of Identity and Age: Verify the legal identity of the Participant. If the Participant is under the age of 18 (or the age of majority in the relevant jurisdiction), ensure the Parent/Legal Guardian execution block is completed in full.
3. Execution & Archiving: Secure signatures from both the authorized Company representative and the Participant prior to the commencement of any recording or interview session. Store the executed document in the corporate compliance repository under the Project identifier for audit and intellectual property defense purposes.