AI Public Relations Consent Form
Provide your consent for the use of your content in AI-powered PR activities.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Organization or Affiliation (if applicable)
What type of content may we use in AI-powered PR materials?
*
Photograph or likeness
Audio recording
Video recording
Written statements or testimonials
Other
Purpose of AI use
*
Press releases
Marketing materials
Social media content
Internal communications
Other
Duration of Consent
*
One-time use only
Ongoing until revoked
Other (please specify)
If you have any restrictions or conditions for your consent, please specify.
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit Consent
Submit Consent
Should be Empty: