photo and video release consent form

Media Consent and Release Agreement

Instructions for Use

• Fill in all bracketed information clearly to ensure the legal identity of both the Releasor and the Organization is unambiguous.
• Ensure the Releasor (or their legal guardian, if under 18) initials each section where indicated to confirm specific consent.
• Retain the signed original in a secure digital or physical filing system for the duration of the media usage period.

Parties and Definitions

This Media Consent and Release Agreement (the "Agreement") is entered into as of [Date] by and between:

Releasor: [Full Legal Name of Participant] residing at [Full Residential Address] ("Releasor").

Organization: [Full Legal Name of Organization] located at [Full Business Address] ("Organization").

Operative Terms

1. Grant of Rights: Releasor hereby grants to Organization, and its successors, licensees, and assigns, the irrevocable, perpetual, worldwide, royalty-free right and license to record, film, photograph, and capture the image, likeness, voice, and performance of Releasor (the "Media") during the events or activities occurring at [Location/Event Name] on [Date(s) of Activity].

2. Usage Rights: Organization shall have the right to use, edit, distribute, display, reproduce, and publish the Media in any and all media formats now known or hereafter developed, including but not limited to websites, social media platforms, print publications, advertising, and marketing materials, without further compensation or notification to Releasor.

3. Ownership: Releasor acknowledges that Organization is the sole and exclusive owner of all rights, title, and interest in and to the Media, including all copyrights therein. Releasor waives any right to inspect or approve the finished product or the copy that may be used in connection therewith.

4. Release and Waiver: Releasor hereby releases, discharges, and holds harmless Organization and its employees, agents, and contractors from any and all claims, demands, or causes of action that Releasor may now have or may hereafter 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.

5. Capacity: Releasor represents and warrants that they are at least 18 years of age (or that a parent/legal guardian has signed below) and have the full legal capacity to enter into this Agreement.

[ ] I grant permission for my image to be used for commercial marketing purposes. [ ] I grant permission for my image to be used for internal educational or archival purposes only.

Signature and Acknowledgment

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

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

Organization Representative Signature: __________ Printed Name: [Full Legal Name] Title: [Title] Date: [Date]

Legal Disclaimer: This document is a general framework intended for informational purposes. It does not constitute legal advice. Please consult with qualified legal counsel to ensure compliance with specific jurisdictional requirements and privacy laws.