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Printable Media Release Form
"I need a Printable Media Release Form for my marketing agency to use client testimonial videos and photos across our social media channels and website, with usage rights lasting until January 2025."
1. Personal Information: Details of the person giving consent including full name, address, and contact information
2. Scope of Release: Specific permissions being granted for media use, including types of media and contexts
3. Rights Granted: Detailed description of rights being transferred or licensed, including reproduction, distribution, and modification rights
4. Duration: Time period for which the release is valid, whether perpetual or time-limited
5. Signature Block: Space for dated signatures, witness details, and execution requirements
1. Parental Consent: Additional section required when the subject is under 18 years of age, including guardian details and permissions
2. Compensation: Details of any payment or consideration provided in exchange for the media release
3. Territory Restrictions: Specific geographical limitations on where the media can be used or distributed
4. Revocation Rights: Terms under which the subject may withdraw their consent and the process for doing so
1. Schedule 1: Description of Media: Detailed inventory of specific photos, videos, recordings, or other media content covered by the release
2. Schedule 2: Permitted Uses: Comprehensive list of authorized platforms, contexts, and purposes for which the media can be used
3. Schedule 3: Territory List: If applicable, detailed list of countries, regions, or jurisdictions where media usage is permitted
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