photo and video release form example

Media Consent and Release Agreement

Instructions for Use

• Complete all bracketed fields accurately before presenting this document to the participant for signature.
• If the participant is a minor (under 18 years of age), a parent or legal guardian must sign on their behalf.
• Retain the signed original in a secure digital or physical file for the duration of the media usage period.

Parties and Definitions

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

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

Entity: [Company Name], located at [Company Address] ("Entity").

Media: Any and all photographs, video recordings, audio recordings, or digital likenesses captured of the Participant by the Entity or its agents on [Date of Recording] at [Location of Recording] (collectively, the "Media").

Operative Terms

1. Grant of Rights: Participant hereby grants the Entity, its successors, assigns, and licensees, the irrevocable, perpetual, worldwide, royalty-free right to use, reproduce, edit, exhibit, project, display, publish, and distribute the Media in any and all media now known or hereafter developed, including but not limited to social media, websites, marketing materials, and internal communications.

2. Waiver of Approval: Participant waives any right to inspect or approve the finished product, the advertising copy, or the printed matter that may be used in connection with the Media.

3. Release of Liability: Participant hereby releases, discharges, and agrees to hold harmless the Entity, its officers, directors, employees, and agents from any and all claims, demands, or causes of action 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: Participant acknowledges that they are participating in the creation of the Media on a [ ] voluntary basis / [ ] compensated basis (if compensated, amount: [__________]) and will receive no further financial compensation for the use of the Media as described herein.

5. Ownership: Participant acknowledges that the Entity is the sole and exclusive owner of all rights, title, and interest in and to the Media, including all copyrights therein.

6. Governing Law: This Agreement shall be governed by the laws of the state or jurisdiction of [State/Country].

Signature and Acknowledgment

By signing below, the Participant (or legal guardian) acknowledges they have read this document, understand its terms, and voluntarily agree to be bound by them.

Signature of Participant/Guardian: [__________]

Printed Name: [__________]

Title (if signing for an entity): [__________]

Date: [__________]

Disclaimer: This document is a general framework and does not constitute formal legal advice. Laws regarding media rights and privacy vary by jurisdiction. Please consult with qualified legal counsel to ensure this document meets your specific needs and complies with local regulations.