Social Media Recording Consent Form
Please provide your details, review the recording use, and confirm your permission for social media recording and use.
Participant Information
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Organization / Brand or Event Name
Recording Details and Consent
Date of Recording
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Content Type / Usage Context
*
Please Select
Photo
Video
Audio
Livestream Clip
Social Post
Reel
Story
Campaign Content
Other
Signature
*
Preferences and Restrictions
Usage Preferences and Boundaries
Allow editing
No voice use
Attribution requested
No attribution
Limit use to specific platforms
Limit use to specific time period
Location restrictions
Other
Additional Restrictions or Notes
Submit
Submit
Should be Empty: