Free Media Release Form Template
Media Release Form
Please fill out this form to authorize the use of your media content as specified below.
Personal Information
Name
Address
Phone number
Media Content Description
Please select the type(s) of media content being released
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Photographs
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Video Recordings
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Audio Recordings
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Written Content
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Purpose of Use
Please specify how the media content will be used
Consent and Release
I hereby grant permission to [Your Company Name] to use the above-described media content for the specified purposes. I understand that the media may be used in print, digital, or online formats and that I waive any rights to inspect or approve the final use.
Name:
Date:
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