Media Consent Form

Full Name*

Email Address*

Organization / Event Name*

Media Type*

Photo

Video

Audio

All of the above

Intended Use*

I consent to the use of my image/likeness for the stated purposes*

Signature*

Signature field

Date Signed*

What is this form?

A consent form granting permission to use photos, videos, or audio recordings for media, marketing, or educational purposes.

Photographers, videographers, schools, event organizers, and marketing teams.