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Media Release Form


This is a template image release form for adults. This is a form used to obtain the consent of another person to publish particular photographs for commercial and/or personal purposes.

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Document Description

A Media Release Form is a document used by individuals (known as a "Releasee") to obtain the consent of another person (known as a "Releasor") to use their image/video for personal or commercial purposes.  

A Media Release Form is used when video, photos or images of people are taken, and the other party wants to publish it generally for commercial purposes. Consent, through a media release form, must be obtained before publishing such images/video. Such consent is necessary for the individual or photographer to avoid copyright infringement issues. 

Under this specific template, the rights to these images/videos are given free of charge - without any consideration or payment. 

Furthermore, the Releasor, in this form, waives the right to any compensation, including but not limited to any royalties, arising from the use of the photos. 

The Releasor understands and agrees that all photos/videos are the property of the Releasee and will not be returned to the Releasor.

This grant of authorisation includes publications by the Releasee’s on mediums including, but not limited to, the Internet, e-mail, magazines, flyers, and advertisements.

How to use this Document?

This document should be carefully read by the Releasor and Releasee. Both parties should sign and return a copy of this form. Once signed, both parties should get a copy of the signed form. 

This image release form is suitable for adult signatories. This image release form is not suitable for children. In other words, if the consent of a child is required, this form is not suitable.

The Releasee should ensure that this document is signed by the Releasor before they publish the image.

To avoid any future disputes, both parties may wish to have their signatures witnessed. 


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