customer testimonial consent form

Publicity and Testimonial Release Agreement

Instructions for Use

• Complete all bracketed fields with the appropriate legal names and contact details before providing the document to the participant.
• Ensure the participant initials each numbered clause to signify explicit understanding and agreement to the terms.
• Retain a fully executed copy in your digital records management system for the duration of the content’s use.

Parties

This Agreement is entered into on [Date] by and between:

Participant: [Full Legal Name] ("Participant"), residing at [Full Address].

Company: [Company Name], a [State/Country] [Entity Type, e.g., LLC/Corporation], with its principal place of business at [Company Address] ("Company").

Operative Terms

1. Grant of Rights. Participant hereby grants Company, its successors, and assigns, the absolute and irrevocable right and permission to use, publish, distribute, and display the Participant's name, likeness, voice, biographical information, and any statements, quotes, or testimonials provided by Participant (collectively, the "Materials") in any and all media, whether now known or hereafter developed, including but not limited to websites, social media, marketing collateral, and advertising. [ ] (Initial)

2. No Compensation. Participant acknowledges and agrees that they shall receive no financial compensation, royalties, or other consideration for the use of the Materials, and that the opportunity to participate is sufficient consideration for this release. [ ] (Initial)

3. Editing and Modification. Company shall have the right to edit, crop, retouch, or otherwise alter the Materials at its sole discretion, provided that such modifications do not materially misrepresent the Participant’s original sentiment or intent. [ ] (Initial)

4. Release and Waiver. Participant hereby releases, discharges, and agrees to hold harmless Company, its officers, employees, and agents from any and all claims, demands, or causes of action arising out of or in connection with the use of the Materials, including but not limited to claims for defamation, invasion of privacy, or right of publicity. [ ] (Initial)

5. Ownership. Participant acknowledges that all recordings, photographs, and written testimonials created by or for the Company are the sole and exclusive property of the Company. [ ] (Initial)

6. Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the state of [State], without regard to its conflict of law principles. [ ] (Initial)

Acknowledgment and Signature

I have read this document in its entirety and fully understand its contents. I am at least 18 years of age and have the legal capacity to sign this release.

Participant Signature: __________

Printed Name: [Full Legal Name]

Title (if applicable): [Job Title]

Date: [Date]

Legal Disclaimer: This document is a general framework and does not constitute legal advice. Laws regarding publicity rights and releases vary significantly by jurisdiction. Consult with qualified legal counsel to ensure this document meets the specific compliance requirements of your state or region.