Templates Business Operations Photo Consent Form Template

Photo Consent Form Template

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(Please note, this example form does not constitute a fully written and usable photography release. The content here is merely for example purposes.)
I hereby grant the XYZ COMPANY, its directors, officers, employees, agents, and designees (collectively “XYZ COMPANY”) non-revocable permission to capture my image and likeness in videotapes, motion pictures, recordings, or any other media (collectively “Images”). I acknowledge that XYZ COMPANY will own such Images and further grant the XYZ COMPANY permission to copyright, display, publish, distribute, use, modify, print and reprint such Images in any manner whatsoever related to XYZ COMPANY business, including without limitation, publications, advertisements, brochures, web site images, or other electronic displays and transmissions thereof. I further waive any right to inspect or approve the use of the Image by the XYZ COMPANY prior to its use. I forever release and hold the XYZ COMPANY harmless from any and all liability arising out of the use of the Images in any manner or media whatsoever, and waive any and all claims and causes of action relating to use of the Images, including without limitation, claims for invasion of privacy rights or publicity.

I hereby warrant that I am eighteen (18) years old or more and competent to contract in my own name or, if I am less than eighteen years old, that my parent or guardian has signed this release form below. This release is binding on me and my heirs, assignees and personal representatives.


Please check one of the following two options
I understand that my photo(s) may never be revoked.
I understand that my consent may be withdrawn after written confirmation sent to _________.
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A photo consent form is used to give written and signed permission to a third party. The form consents to the release of photos of them or permits a change of photo ownership.

Customize the photo consent form below:

What Should a Photo Consent Form Include?

On our template, we’ve included the following:

    • Conditions of the consent
    • Individual’s information
    • Description of the image(s)
    • Revocation (terms of cancelation of the consent)
    • Signature and date field

A revocation clause is vital to include in most consent forms. The revocation on this photo release form lets the releasee choose between never revoking the consent or withdrawing consent in writing.

We’ve also added a signature field (available to Pro and Elite WPForms subscribers) to have the releasee sign the document. Add a second signature field to the photo consent form and ask the releaser to sign.