Raw Footage Release Form
Authorize the use of your raw video or audio footage by providing the necessary details and granting permission for specified use.
Footage Provider's Full Name
*
First Name
Last Name
Footage Provider's Email Address
*
example@example.com
Footage Provider's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Recipient's Full Name or Organization
*
First Name
Last Name
Recipient's Email Address
*
example@example.com
Project Title or Reference
*
Description of Raw Footage (e.g., event, location, date, content specifics)
*
Date of Release
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Purpose of Use (select one)
*
Editing/Production
Archival
Broadcast/Publication
Internal Review
Other (please specify)
Are there any restrictions or conditions on the use of this footage?
*
No restrictions – full permission granted
Yes (please specify below)
If yes, please specify any restrictions or conditions:
Signature of Footage Provider (required to complete the release)
*
Submit Release
Submit Release
Should be Empty: