Video Consent And Release Form Template – US

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Updated – 2025 /2026


Release and Authorization

The following agreement is provided solely as a general example for capturing and utilizing video recordings for various purposes. It is not intended as legal advice and should not replace consultation with a qualified attorney familiar with media rights and privacy laws. Legal requirements and regulations may differ by jurisdiction, and necessary adjustments should be made to ensure compliance. Use of this example is at the user’s own risk, and we accept no liability for any inaccuracies, omissions, or consequences resulting from its application without professional review.


PDF

PDF

Word

Word

Sample

Sample

Template

Template


Please note: This is a sample Video Consent and Release form template for the United States, provided for illustrative purposes only. Actual terms may vary based on specific circumstances and applicable laws.

Video Consent and Release Form (Sample)

Parties Involved:

Participant: ________________________________
Address: _____________________________________

Promoter/Organizer: __________________________
Address: _____________________________________

Video Content:

This consent covers recordings of the participant during specified events or activities on ________________, at locations including but not limited to ______________________________________________, which may include images, audio, and video recordings.

Consent and Release:

By signing below, the participant grants permission to the promoter to record, use, reproduce, distribute, and publicly display the recorded content in any media formats now known or hereafter developed, worldwide, in perpetuity, without compensation.

Participant Responsibilities:

The participant understands that they will not receive compensation for the use of recordings and releases all claims related to their use, including privacy and publicity rights.

Governing Law:

This agreement shall be governed by the laws of the State of California, and any disputes shall be resolved within its jurisdiction.

Additional Provisions:

  • The participant affirms that they are of legal age or have obtained parental consent if under 18.
  • This consent is valid for recordings made during the specified event dates.
  • The participant releases the promoter from any claims or liabilities arising from the use of the recordings.

Date: _____________________________

__________________________
Participant Signature
__________________________
Organizer Signature