Event Performer Recording Release Form
Grant consent for the recording and authorized use of your performance at this event.
Performer Full Name
*
First Name
Last Name
Performer Email Address
*
example@example.com
Performer Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Event Name
*
Event Date
*
-
Month
-
Day
Year
Date
Event Location (Venue and City)
*
Role at Event (e.g., Vocalist, Dancer, Speaker)
*
Organization or Group Represented (if any)
Description of Performance (e.g., song title, act, speech)
*
Recording Details (e.g., type of recording, intended use)
*
Performer Signature (Please sign below to confirm your consent and release)
*
Submit Release
Submit Release
Should be Empty: