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Media Release Form


This is a template image / video release form for providing consent on behalf or minor. This Media Release Form is used to obtain the consent of parent / legal guardian to publish particular photographs / video of the minor / child 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 a parent/legal guardian (known as a "Releasor") to use the image/video of their child for personal or commercial purposes.  

A Media Release Form is used when video, photos or images of a minor is taken, and the other party wants to publish it generally for commercial purposes. Consent of the parent / legal guardian, through a media release form, must be obtained before publishing such images/video of the minor. 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 parent / legal guardian in this form waives the right to any compensation, including but not limited to any royalties, arising from the use of the photos. 

The parent / legal guardian understands and agrees that all photos/videos are the property of the Releasee and will not be returned

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 parent / legal guardian 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 minors and must be signed by the parent / legal guardian on behalf of the minor.

The Releasee should ensure that this document is signed by the parent / legal guardian before they publish the image/video.

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


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