Templates Business Operations Standard Media Release Form Template

Standard Media Release Form Template

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Personal Details


Media Release

The Media Can Be Used in the Following:
Check all that apply
Release of Liability
Terms and Conditions

By agreeing to this media release form, you agree to be bound by, and to comply with, these Terms and Conditions. If you do not agree to these Terms and Conditions, please do not use tick the box.

PLEASE NOTE: We reserve the right, at our sole discretion, to change, modify or otherwise alter these Terms and Conditions at any time. Unless otherwise indicated, amendments will become effective immediately. Please review these Terms and Conditions periodically.
Clear Signature

In today’s digital age, media release agreements play a pivotal role in safeguarding individuals’ rights, while permitting the use of their image and content for various media purposes.

That’s why the Standard Media Release Form Template from WPForms is an essential tool in today’s media-driven world. Use it to prioritize clarity and openness to build trust with your audience, while also safeguarding the organization’s interests.

Navigating the Standard Media Release Form Template

First, this release form template gathers the user’s personal details with these fields:

  • Name: Capture the individual’s full name.
  • Email: Gather their email for communication.
  • Phone: Include their phone number (optional).
  • Address: Document their address (optional).
  • Date of Birth: Record the individual’s date of birth (optional).

Then, the Standard Media Release Form Template gets to its main purpose: the media release itself. Here, your form user will check each of the types of media they give permission to be used. These options include:

  • Videos
  • Photos
  • Email Marketing
  • Social Media
  • Newsletters/Magazines
  • Website
  • Other

Next, the form user checks three boxes related to their consent, release of liability, and agreement with the terms and conditions. We suggest editing each of these fields to reflect your own regulations and terms, or adding and removing fields as you see fit.

Lastly, your form user provides the date they’re filling out the form along with their digital signature, which are required for them to submit this waiver.

By incorporating the Standard Media Release Form effectively into your website, you ensure transparency, consent, and compliance when using individuals’ content.

So, what are you waiting for? Sign up with WPForms today to create your own Standard Media Release Form. Signing up gives you access to this and hundreds of other form templates.