Video Consent

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Personal Information

Name

First

Last

Layout Model's Date

Phone

Email

Model Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Consent for Photography and Videography

I hereby grant permission for my photo and video to be taken during the event/activity.

Consent and Authorization 2

I hereby warrant that I am eighteen (18) years old or more and competent to contract in my own name.

Usage Rights

I grant the agency and their authorized parties the right to use, reproduce, and distribute the photographs.

Usage Rights 2

I grant the agency to make any modifications as deemed necessary to the photographs and videos.

Waiver and Release

I release all rights and claims to the photos and videos, allowing the organization to use them without compensation.

Waiver and Release 2

I grant the permission to use my photographs and videos for a period of [specify duration].

Withdrawal of Consent

At any time, you can withdraw your consent and request the removal of your photos and videos from our organization’s materials. Contact our privacy officer at privacyofficer@organization.com to do so.

Model's Signature

Clear Signature

Date of Agreement