Disclaimer
The provided document serves as a general template for authorizing the participation of minors in media-related activities. It is intended for informational purposes only and does not constitute legal advice. Users should customize the form to fit their specific needs and consult a qualified attorney to ensure compliance with applicable laws and regulations. Responsibility for proper use and adaptation of this form rests solely with the user, and we make no warranties or liabilities regarding its accuracy or legal sufficiency.
This is a sample media release form template for minors. Slight modifications to the wording may be necessary to suit specific situations and legal requirements.
Media Release Form for Minors Example
Parties Involved:
Parent/Guardian: Emily Johnson
Address: 789 Maple Street, Springfield, IL 62704
Minor: Alex Johnson
Date of Birth: January 15, 2010
Description of Media and Usage:
The minor’s photographs, videos, and/or voice recordings may be used in promotional materials, website content, social media, and other media outlets by the organization for the purpose of publicity and outreach activities.
Consent:
I, the undersigned parent/guardian, grant permission for the above-mentioned media to be used as described. I understand that the media may be shared publicly and that I waive any rights to compensation or other claims arising from their use.
Duration and Revocation:
This consent is valid until revoked in writing. I understand that I may withdraw consent at any time by providing written notice to the organization.
Emily Johnson (Parent/Guardian)