Training Video Release Form

Training Video Release Form
Grant permission for the use of your likeness, voice, and/or performance in training videos.
Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization or Department (if applicable)
Role or Position
Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Recording
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Title or Description of Training Video
Intended Use of Video
Please specify any restrictions or preferences regarding the use of your appearance in the video (optional)
Signature
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Date of Agreement
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: