testimonial release form template

Publicity and Media Consent Agreement

Instructions for Use

• Fill in all bracketed information accurately, ensuring the legal entity name matches your corporate registration.
• Provide a copy of this signed document to the participant for their records and maintain the original in your secure business files.
• If the participant is a minor under the age of 18, ensure a parent or legal guardian signs on their behalf in the designated section.

Parties & Definitions

This Agreement is entered into on [Date] by and between [Company Name] ("Company") and [Full Legal Name] ("Participant"). The "Materials" consist of the following: [Description of Content, e.g., video interview, written quote, photograph, or social media post].

Operative Clauses

1. Grant of Rights. Participant hereby grants to Company, its successors, and assigns, a perpetual, irrevocable, worldwide, royalty-free license to use, reproduce, edit, exhibit, project, display, and publish the Materials in any media now known or hereafter developed, including but not limited to websites, social media, marketing collateral, and internal presentations.

2. Right of Publicity. Participant grants Company the right to use Participant’s name, likeness, image, voice, and biographical information in connection with the Materials and the promotion of Company’s services or products.

3. Waiver of Review. Participant waives any right to inspect or approve the finished product, the advertising copy, or any other matter that may be used in connection with the Materials.

4. Release of Liability. Participant hereby releases, discharges, and agrees to hold harmless Company and its officers, directors, employees, and agents from any and all claims, demands, or causes of action that Participant may have arising out of or in connection with the use of the Materials, including but not limited to claims for defamation, invasion of privacy, or right of publicity.

5. Representations. Participant represents that they are at least 18 years of age (or have obtained guardian consent), have the full right and authority to enter into this Agreement, and that the Materials provided are original and do not infringe upon the rights of any third party.

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

Signature & Acknowledgment

Participant/Guardian Signature: __________

Printed Name: [Full Legal Name]

Title (if signing on behalf of an entity): [Title]

Date: [Date]

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

Legal Disclaimer: This document is a general framework intended for informational purposes and does not constitute legal advice. Laws regarding publicity rights, intellectual property, and minor consent vary significantly by jurisdiction. Please consult with qualified legal counsel to ensure this document meets your specific business needs and local compliance requirements.