Park Ranger Documentary Consent Form
Consent for participation, filming, and media release in a park ranger documentary project.
Participant's Full Name
*
First Name
Last Name
Preferred Name (if different from above)
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you 18 years of age or older?
*
Yes, I am 18 or older
No, I am under 18 (guardian consent required)
If under 18, please provide parent/guardian name and contact information
Project Title/Filming Details
*
Briefly describe your appearance or scene in the documentary
*
Location of Filming
*
Date of Filming
*
-
Month
-
Day
Year
Date
Do you grant permission for your image, voice, and likeness to be recorded and used in the documentary?
*
Yes, I grant permission
No, I do not grant permission
Do you allow your appearance to be used in promotional materials (trailers, posters, social media, etc.) for the documentary?
*
Yes, I allow promotional use
No, only for the main documentary
Special requests or restrictions (optional)
Signature (please sign below to confirm your consent)
*
Date of Consent
*
-
Month
-
Day
Year
Date
Submit Consent
Submit Consent
Should be Empty: