Interview, Photo, and Video Release Form (United States)

Collect signed permission from adults, minors, and teens aged 13 to 17 before they take part in interviews or appear in photos and video recordings. A practical option for organizations and media teams that need documented approval prior to publishing content.

Use this template

No image

Terms of the release

Use of interviews, photos, and video

Section A: Adults

Name of individual

Signature of individual

Sign here

Email of individual

Date

Section B: Minors under 13

Name of minor

Name of parent or guardian

Signature of parent or guardian

Sign here

Email of parent or guardian

Date

Section C: Individuals aged 13 to 17

Name of individual aged 13 to 17

Signature of individual

Sign here

Address of individual

Phone of individual

Email

Date

Related templates

Browse all releases templates →