sample photo and video release form

Media Consent and Release Agreement

Instructions for Use

• Fill in all bracketed information accurately before presenting this document to the subject for signature.
• If the subject is a minor (under 18), ensure a parent or legal guardian signs the "Parent/Guardian Acknowledgment" section.
• Maintain a digital or physical copy of the signed agreement in your project files for the duration of the media's usage.

Parties and Definitions

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

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

The Producer/Company: [Full Legal Name of Company or Individual], located at [Company/Individual Address] ("Releasee").

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

Operative Clauses

1. Grant of Rights. Releasor hereby grants to Releasee, its successors, assigns, and licensees, the irrevocable, perpetual, worldwide, royalty-free right to record, photograph, film, and capture the Releasor’s name, likeness, voice, image, and performance in connection with the Project.

2. Usage Rights. Releasee shall have the right to edit, reproduce, exhibit, publish, distribute, and display the resulting media in any and all media formats now known or hereafter developed, including but not limited to websites, social media, marketing materials, television, and print, for any lawful purpose, including commercial and promotional use.

3. Waiver of Compensation. Releasor acknowledges that they shall receive no compensation, financial or otherwise, for the rights granted herein, and that the opportunity to participate in the Project constitutes sufficient consideration.

4. Release of Liability. Releasor hereby releases and discharges Releasee from any and all claims, demands, or causes of action that Releasor may now have or may hereafter have for libel, defamation, invasion of privacy, right of publicity, or any other claim arising out of or in connection with the use of the media.

5. Ownership. Releasor acknowledges that all rights, title, and interest in the media, including all copyrights, shall belong exclusively to the Releasee.

6. Governing Law. This Agreement shall be governed by the laws of the state of [State], without regard to its conflict of law principles.

Signature and Acknowledgment

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

Parent/Guardian Acknowledgment (if subject is under 18): I am the parent or legal guardian of the minor named above and have the legal authority to execute this release on their behalf. Signature: __________ Printed Name: [Parent/Guardian Name] Date: [Date]

Legal Disclaimer

This document is a general framework intended for informational purposes. It does not constitute legal advice. Laws regarding media releases vary significantly by jurisdiction; you must consult with qualified legal counsel to ensure this document complies with local, state, and federal requirements applicable to your specific situation.