User Guide

Release Form

Sample Illustrative Consent Form Only

 

Film and Photographic Stills Sample Consent Form - Please take legal advice if you are unsure if this agreement
 will be adequate for the purpose you are using it for.

To be completed by Film/Videomaker, individual(s) and (parents/guardians if subject is under 18 years of age) prior
to filming, videoing or or photograpy.

 

Film Director  (Insert your Name here)

 

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Company Name (Insert the Name of the Company you are working for or represent here)

 

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Film Project name


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Signature & Date (of the person doing the filming and the day on which filming or videoing is to take place)

 


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I have fully discussed the content of this form with the person(s) mentioned below.
 

I hereby grant (Insert your company name here) the right to use the film, video and or photograph(s) resulting
from this shoot, and any reproductions or adaptations of the film or video and or photograph(s) resulting, for all general purposes in relation to (Insert your name or company name here) work and I hereby agree that the copyright and all other rights in respect of my contribution is hereby assigned to the (Insert your name or company name here). I agree that the Programme or Media Work I have contributed to may be exhibited throughout the world and in all media and formats, now or hereafter known. This may include public screenings and broadcast screenings. (Insert your name or company name here) may without further consent use my name, likeness, biography and photographs of me and recordings of interviews with me in advertising and publicising the Programme or Mediawork including, without limitation, the right to use them in any publicity materials, websites, books, newspapers and magazine articles whenever (Insert your name or company name here) chooses to do so.

I hereby agree that my voluntary contribution in the Programme or Media Work is not for
any payment or deferred payment.

Name of Participant or Contributor (please print)


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Phone Number of Participant

 

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Email Address of Participant

 

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Address of Participant


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Signature (of Participant)

 

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Signature of parent or guardian (if Participant is under 18)

 

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Date…………………………………………………………