Creative Writing Reading Recording Consent Form
Please complete this form to provide your consent for the recording and use of your creative writing reading.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Title of the Creative Writing Piece to be Read
*
Relationship to the Work
*
Please Select
Author
Reader (not the author)
Other
Do you give consent for your reading of the creative writing piece to be audio and/or video recorded?
*
Yes, I consent to audio and video recording.
Yes, I consent to audio recording only.
No, I do not consent to recording.
How may the recording of your reading be used? (Select all that apply)
*
For educational purposes
For public sharing (e.g., website, social media)
For archival purposes only
Other (please specify)
By signing below, you confirm that you have read and understood the information above and voluntarily agree to participate and be recorded as specified.
*
Submit Consent
Submit Consent
Should be Empty: