PHOTO & MEDIA RELEASE FORM
Starter template — review and adapt before use
This Photo & Media Release ("Release") gives the Organization named below permission to use photographs, video, audio recordings, and quotes ("Media") of the Participant, on the terms set out here.
1. The Parties
Organization Name:
Participant Name:
Participant Email or Phone:
Event, Project, or Shoot (name and date):
2. Permission Granted
The Participant grants the Organization permission to record, edit, and use Media featuring the Participant for the following purposes (tick all that apply):
Website and blog
Social media
Printed materials such as brochures and posters
Advertising (online or offline)
Internal communications only
Duration of Permission (for example "2 years" or "indefinitely"):
3. Terms
1.No payment is owed for the use of the Media unless stated here: ________________________________
2.The Organization will not use the Media in a way that is misleading, defamatory, or that implies the Participant endorses a product or position without separate agreement.
3.The Participant may withdraw this permission for future uses by written notice to the Organization. Withdrawal does not require the Organization to recall materials already printed or published before the notice was received.
4.Personal information collected with this Release will be handled in line with the Organization’s privacy notice.
4. Participant Under the Age of Majority
If the Participant is under the age of majority where they live, a parent or legal guardian must also sign below.
5. Signatures
Participant
Signature:
Printed Name:
Date:
Parent or Guardian (if required)
Signature:
Printed Name and Relationship:
Date:
Organization
Signature:
Printed Name & Title:
Date:
This is a general starting point provided by SignNinja, not legal advice. Rules on image rights, privacy, and consent for minors vary by country and state, so have this reviewed before use.