Virtual Reality Filming Consent Form
Please complete this form to participate in our virtual reality filming project and provide your consent for the use of recorded VR content.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date
Preferred Filming Date
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Availability for VR Filming
*
Morning (8am-12pm)
Afternoon (12pm-4pm)
Evening (4pm-8pm)
Other
Type of Participation
*
On-camera
Voice-only
Background/Extra
Media Release Permission
*
I consent to the use of my image and voice in all media formats
I consent to use in internal project materials only
I do not consent to public release
Emergency Contact Name
*
Participant Signature
*
Submit Consent
Submit Consent
Should be Empty: