photo and video release form pdf

Media Consent and Release Agreement

Instructions for Use

• Complete all bracketed fields accurately before presenting this document to the participant for signature.
• Ensure the participant (or their legal guardian, if under 18) initials each page or section if required by your internal compliance policy.
• Retain the signed original in a secure, digital, or physical file for the duration of the media usage and for the applicable statute of limitations period.

Parties and Definitions

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

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

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

Project/Event: [Name or Description of Event/Project] ("Project").

Operative Clauses

1. Grant of Rights: For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Releasor irrevocably grants to the Company, its successors, and assigns, the perpetual, worldwide, non-exclusive right to use, reproduce, edit, exhibit, project, display, and publish the Releasor’s name, likeness, image, voice, and performance (collectively, "Media") in any and all media now known or hereafter devised, including but not limited to social media, websites, print materials, and broadcast.

2. Waiver of Compensation: The Releasor acknowledges that they shall receive no financial compensation, royalty, or other payment for the use of the Media, and that the Company is under no obligation to utilize the Media in any specific manner.

3. Release of Liability: The Releasor hereby releases, discharges, and holds harmless the Company and 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 Media, including but not limited to claims for defamation, invasion of privacy, or infringement of rights of publicity.

4. Ownership: The Releasor acknowledges that the Company is the sole and exclusive owner of all rights, title, and interest in and to the Media, including all copyrights therein.

5. Representations: The Releasor represents that they are [ ] 18 years of age or older OR [ ] under 18 years of age (if under 18, a parent or legal guardian must sign below). The Releasor further warrants that they have the full right and authority to enter into this Agreement.

Signature and Acknowledgment

Participant Signature: __________

Printed Name: [Full Legal Name of Participant]

Date: [Date]

Parent/Guardian Signature (if Participant is under 18): __________

Printed Name of Guardian: [Full Legal Name of Guardian]

Relationship to Participant: [Relationship]

Legal Disclaimer

This document is a general framework intended for informational purposes and does not constitute legal advice. Media release requirements vary by jurisdiction and industry. Consult with qualified legal counsel to ensure this document complies with local laws and your specific business needs.