Fashion Brand Footage Release Form

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Home Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Date of Birth

Date

Your Role or Relationship to the Brand

Type of Footage to be Released

Date of Footage Capture

Date

Location of Footage Capture

Intended Use of the Footage

Duration and Territory of Release

Special Conditions or Limitations (if any)

Signature (Please sign below to confirm your release and consent)