Game Highlights Release Form
Authorize the use and distribution of your game highlights and related media.
Participant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Role in the Game/Event
*
Please Select
Player
Coach
Team Staff
Official
Other
Team or Organization Name
Game/Event Name
*
Date of Game/Event
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of Game/Event
*
Type(s) of Media to Be Released
*
Video Highlights
Photographs
Audio Recordings
Other
Where can the highlights/media be used?
*
Official team/organization website
Social media (e.g., Facebook, Instagram, Twitter)
Promotional materials
News outlets
Other
Please specify any restrictions on the use of your highlights/media (if any)
Signature (Please sign to confirm your release and consent)
*
Submit Release
Submit Release
Should be Empty: