BVIRAL - Video Submit Form

SUBMIT YOUR VIDEO

Want to go viral? Upload your video. BVIRAL features the best videos across our popular media network reaching well over 1-billion people each month!
Upload Video:*

SELECT FILE(S)
Include any supporting images or videos. Cancelof
Describe What is Happening in the Video:*
Date Video Was Recorded:*

MonthDayYear
Date
Filming Location:*

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Video Link on Social Media:
Instagram Username(s) to Credit:*
Other Social Media Accounts & Usernames:
List first and last names of people visible in the video:*
Are You At Least 18 Years Old?*

Yes, I am at least 18 years old and signing for myselfNo, I am younger than 18 years and need a guardian to cosign
I represent and warrant that I am either a parent or legal guardian of the minor child, and that I have complete authority to grant this Agreement on the minor child’s behalf. I hereby agree that I and the said minor will be bound by all the provisions contained herein.
I represent and warrant that I am either a parent or legal guardian of the minor child, and that I have complete authority to grant this Agreement on the minor child’s behalf. I hereby agree that I and the said minor will be bound by all the provisions contained herein. I have reviewed and agree to the Licensing Agreement.
Guardian's Full Name*
Guardian's Email*
Guardian's Phone Number*

Area CodePhone Number
Guardian's Digital Signature*
Confirm Below:*

I have not previously sent this video to any other page, submission form, or licensing company.I physically recorded this video.
Confirm Below:*

I have not previously sent this video to any other page, submission form, or licensing company.I physically recorded this video.I am at least 13 years old.
Confirm Below:*

I have not previously sent this video to any other page, submission form, or licensing company.I, or the minor I am signing for, physically recorded this video.
By signing below, I agree that any and all information I submitted through this form is accurate, and I understand that I am transferring the exclusive rights and the exclusive licensing to the content submitted. I have reviewed and agreed to the Licensing Agreement.
By signing below, I agree that any and all information I submitted through this form is accurate, and I understand that I am transferring the exclusive rights and the exclusive licensing to the content submitted. I have reviewed and agreed to the Licensing Agreement.
My First Name:*
My Last Name*
My Email:*
My Phone Number:*

Area CodePhone Number
PayPal Email:*
*If your video happens to earn money, payment will be issued via PayPal.
My Digital Signature:*
Should be Empty:

SUBMIT YOUR VIDEO