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Media Release · Popular

Capture Consent: Community Event Media Release Form

Collect photo and video authorization from event attendees, including parental consent for minors, media usage rights, and release terms in one easy form.

Use This Template Free Preview

Jade theme

formbuilder.ai/f/community-event-photo-video-media-release-authorization-form

Community Event Photo & Video Media Release Authorization Form

Full Name

· · ·

Email Address

· · ·

Phone Number

· · ·

Submit

The Community Event Photo & Video Media Release Authorization Form makes it simple for event organizers to obtain proper written consent from attendees before using their likeness in photos, videos, or other media. It covers all the essentials — personal information, event details, authorized media types, intended usage purposes, and the duration of the release — ensuring you have documented permission that holds up legally.

This form is ideal for nonprofits, schools, local governments, community organizations, sports leagues, and any group hosting public events who need to capture and share visual content responsibly. It also includes a dedicated section for parental or legal guardian consent when a participant is under 18, making it compliant for events that involve minors.

By using a standardized digital release form, you eliminate paperwork, reduce legal risk, and streamline the consent collection process. Respondents can specify exactly what they are authorizing — from social media use to promotional materials — giving both parties clarity and confidence. Start using this free template today to protect your organization and respect your community's privacy.

3 Pages

21 Questions

~7min To complete

Free No credit card needed

Field types Date ×4 Full Name ×3 Yes / No ×3 Short Text ×2 Multiple Choice ×2 Email Phone Address Dropdown richtext termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Personal Information 9 questions

Personal Information

1 Full Name * Full Name

2 Email Address * Email

3 Phone Number Phone

4 Mailing Address Address

5 Date of Birth * Date

6 Are you completing this form on behalf of a minor (under 18)? * Yes / No

7 Minor's Full Name (if applicable) Full Name

8 Minor's Date of Birth (if applicable) Date

9 Parent/Legal Guardian Name (if applicable) Full Name

Page 2 Event & Media Details 7 questions

Event & Media Release Details

1 Event Name * Short Text

2 Event Date * Date

3 Event Location * Short Text

Authorized Media Usage

4 I authorize the use of my likeness in the following media types: * Multiple Choice

5 I authorize the use of captured media for the following purposes: * Multiple Choice

6 Duration of this media release authorization: * Dropdown

7 Do you grant permission for your name to be used alongside the media? * Yes / No

Page 3 Terms, Consent & Signature 5 questions

Release Terms & Consent

1 By signing below, I acknowledge and agree to the following: (1) I grant the event organizer and its affiliates a royalty-free, non-exclusive right to use, reproduce, modify, and distribute my image, likeness, voice, and/or statements in any media format for the purposes outlined above. (2) I waive any right to inspect or approve the finished media before publication. (3) I release the event organizer, its staff, and affiliates from any claims, damages, or liability arising from the use of the captured media. (4) I confirm that I am at least 18 years of age or am the legal guardian of the minor named in this form and have the authority to grant this consent. (5) I understand that this release is voluntary and that I will receive no compensation for the use of my likeness. richtext

2 I have read and agree to the media release terms and conditions outlined above. * termsandconditions

3 I confirm that all information provided in this form is accurate and truthful. * Yes / No

4 Signature of Participant (or Parent/Guardian if Minor) * Signature

5 Date of Signature * Date

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.