Free Media Release Form Template

Media Release Form

Please read, complete, and sign this form to grant permission for [Your Company Name] to use your media content.

Participant Information

Name

    Email

      Phone Number

        Authorization

        I, [Your Name], hereby grant [Your Company Name] permission to use my image, video, or audio recordings for promotional, advertising, and educational purposes, in any format and platform, without compensation.

        I understand that these materials may be used in print, online, and other media forms. I waive the right to review or approve the finished materials.

        Name:

        Date:

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