Media Consent Form

Media Consent Form

Please provide your consent for the use of your media captured during events or activities.
The photos, videos, and other media collected may be used for purposes including but not limited to promotional materials, social media posts, event documentation, and public relations by our organisation. Your consent allows us to use your likeness in these formats.
Participant's Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Consent for Use of Photos
Consent for Use of Videos
Consent for Use on Social Media
Consent for Use in Promotional Materials
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional Comments or Restrictions
Signature
Should be Empty: