Media Liability Release Form PDF

‘Sample Media Liability Release Form’ PDF Quick download link is given at the bottom of this article. You can see the PDF demo, size of the PDF, page numbers, and direct download Free PDF of ‘Media Release Consent Form’ using the download button.

Media Liability Release Template PDF Free Download

Media Liability Release

A Media Release Form or a Media Consent Release, is a legally binding document that grants authorization for a party to produce, reproduce (or reuse), edit videos, take pictures, print, and record sound of an individual.

Individuals under the age of 18 will need their legal guardians to sign the form.  

The Media Release Form may be signed before or immediately after the impacted party has participated in an event, which is dependent on local state law.

General Media Release Form

The General Media Release Form can be used at Collegewide and campus events, athletic games, fairs and other College promoted events.

The second page of this form includes additional information on the general guidelines for the use of photos.

What to Include in a Media Release Form?

Generally, each Media Release Form may differ, as most states do not have specified legal requirements that must be met.

A Media Release Form may include the following information:

Printed Name


Email and Phone Number


Names of the parties waiving rights for listed use.

Names of the parties receiving rights of the listed media.

Acknowledgement of Age

Identification and consent of Legal Guardian. Required if the party waiving the rights is a minor.

Multiple Entries Media Release Form (with FERPA language)

The Multiple Entries form is used for group settings where you may have multiple students or individuals participating in or at an event.

This form includes specific language regarding FERPA rights for students.

Types of Content a Media Release Form Covers

The Media Release Form may declare or provide options on how the content will be utilized, the longevity of the form or provide specifications if the form is for a particular activity and therefore one-time use only.

Unless otherwise noted the form will be valid for the lifetime of its existence.

All content types should be outlined in the form and examples of potential scenarios may also be listed.

Common information found in Media Release Forms are the following:

The party granting consent waives the right to compensation or royalties.

The party granting consent waives the right to disapprove or approve the final content created.

The party granting consent acknowledges other contracts will not be breached, by participating in the current agreement.

The acknowledgement that the Party granting consent releases any applicable business entity or school from liability and all claims.

List the class of release, which may be defined as Limited or Blanket.

List the rights of the Party receiving consent which may produce, reproduce, edit, print, trade or share content (videos or moving photographs, illustrations, advertising, images, likeness, sound, and statements or comments) as desired.

The Media Release Form is subject to local state laws and notarization may be required.

Individuals may consult legal counsel to ensure the validity and scope of the form.

Language English
No. of Pages1
PDF Size1 MB

Alternate PDF Download Link

Media Liability Release Template PDF Free Download

Leave a Comment

Your email address will not be published. Required fields are marked *