The Photo And Video Consent Form Template – Australia is offered in a variety of formats, including PDF, Word, and Google Docs. Each of these versions is both customizable and print-ready, ensuring they cater to your requirements seamlessly.
Photo And Video Consent Form Template – Australia Editable | PrintableSample
1. Parties Involved 2. Purpose of the Consent 3. Description of the Activity 4. Nature of the Media 5. Duration of Consent 6. Usage of Media 7. Rights of the Consenter 8. No Financial Compensation 9. Confidentiality Statement 10. Declaration and Acceptance
PDF
WORD
Examples
[Event Name]
[Event Date]
[Location]
[Organizer’s Name]
[Organizer’s Contact Information]
[Participant’s Name]
[Participant’s Address]
[Participant’s Phone]
[Participant’s Email]
I, [Participant’s Name], hereby grant permission to [Organizer’s Name] to record my image, voice, and appearance through photographic and video means during the event held on [Event Date].
The collected media may be used for promotional purposes, including but not limited to social media, websites, advertisements, and newsletters related to the event and future events organized by [Organizer’s Name].
This consent is valid for a period of [specify duration, e.g., “two years”] from the date of signing this form, after which it will cease to be effective unless renewed.
I understand that I have the right to withdraw my consent at any time by notifying [Organizer’s Name] in writing, after which my media will no longer be used.
I release [Organizer’s Name] from any claims, demands, or liabilities arising from or related to the use of the media, including any claims for defamation or invasion of privacy.
_________________________
[Participant’s Signature]
[Date]
Name: [Emergency Contact’s Name]
Phone: [Emergency Contact’s Phone]
[Event Name]
[Event Date]
[Location]
[Organizer’s Name]
[Organizer’s Contact Information]
[Participant’s Name]
[Participant’s Address]
[Participant’s Phone]
[Participant’s Email]
I, [Participant’s Name], consent to the capture and use of my image and voice by [Organizer’s Name] during [Event Name] occurring on [Event Date].
The images and videos may be utilized in various formats for promotional and educational purposes, including websites, publications, and media broadcasts.
This consent will remain in effect for [specify duration, e.g., “five years”] following the date below unless I withdraw it in writing earlier.
I acknowledge my right to revoke this consent in writing at any time, which will take effect once received by [Organizer’s Name].
I release [Organizer’s Name] and its affiliates from any responsibility regarding the use of the media as described herein.
_________________________
[Participant’s Signature]
[Date]
Name: [Emergency Contact’s Name]
Phone: [Emergency Contact’s Phone]
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