Music Video Documentary Consent Form
Please complete this form to provide your consent for appearance and media use in the music video documentary.
Full Name of Participant
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Project Title / Name of Music Video Documentary
*
Location of Filming
*
Date of Filming
*
-
Month
-
Day
Year
Date
Are you a minor (under 18 years of age)?
*
Yes
No
If participant is a minor, please provide name of parent or legal guardian (leave blank if not applicable)
Consent and Release Permissions: I grant permission for my likeness, image, voice, and performance to be recorded and used in the music video documentary and related promotional materials, without compensation.
*
I agree and provide my consent as described above.
Participant or Guardian Signature
*
Submit Consent
Submit Consent
Should be Empty: