release form for photo and video

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 initials or signs every page if the document exceeds one page to prevent claims of document tampering.
• Maintain a digital or physical copy of the signed agreement in your project archives for the duration of the media usage plus any applicable statute of limitations.

Parties and Definitions

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

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

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

Project: The media production titled or described as: [Name/Description of Project/Event].

Operative Clauses

1. Grant of Rights: Releasor hereby grants to Organization, and its successors and assigns, the irrevocable, perpetual, worldwide, royalty-free right and license to record, film, photograph, and capture the Releasor’s name, likeness, image, voice, and performance (collectively, "Media") in connection with the Project.

2. Usage Rights: Organization shall have the right to edit, modify, reproduce, exhibit, publish, distribute, and display the Media in any and all media formats now known or hereafter developed, including but not limited to internet, social media, television, print, and promotional materials, without further compensation or approval from Releasor.

3. Ownership: Releasor acknowledges and agrees that all right, title, and interest in and to the Media, including all copyrights therein, shall be the sole and exclusive property of the Organization. Releasor waives any right to inspect or approve the finished product or the use to which the Media may be applied.

4. Release and Waiver: Releasor hereby releases, discharges, and holds harmless the Organization, its employees, agents, and licensees 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. Representations: Releasor represents and warrants that they are at least 18 years of age (or have had this document signed by a parent/guardian) and have the full right and authority to enter into this Agreement.

6. Governing Law: This Agreement shall be governed by and construed in accordance with the laws of the jurisdiction of [State/Province], without regard to its conflict of law principles.

Signature and Acknowledgment

If Releasor is under 18, a parent or legal guardian must sign below: [ ] Parent/Guardian signature required.

Signature of Releasor/Guardian: __________

Printed Name: [Full Legal Name]

Title (if signing for entity): [Job Title or N/A]

Date: [Date]

Legal Disclaimer: This document is a general framework and does not constitute formal legal advice. Laws regarding personality rights and media releases vary significantly by jurisdiction. Consult with qualified legal counsel to ensure this document complies with local laws and your specific business needs.