The Media Release Form Template – Canada is offered in several formats, including PDF, Word, and Google Docs. These formats are both customizable and ready for printing, tailored to suit your specific requirements effortlessly.
Media Release Form Template – Canada Editable – PrintableSample
1. Parties Involved 2. Purpose of the Media Release 3. Description of the Media 4. Grant of Rights 5. No Compensation 6. Release and Indemnification 7. Minors 8. Governing Law 9. Acknowledgment of Understanding
PDF
WORD
Examples
[Release Date]
[Project Title]
[Organization/Media Name]
[Organization Address]
[Contact Phone]
[Contact Email]
[Model’s Full Name]
[Model’s Age]
[Model’s Address]
This Media Release Form (“Release”) grants [Organization/Media Name] permission to use images, videos, or voice recordings of [Model’s Full Name] for promotional purposes, effective from [Start Date].
The Model hereby grants to [Organization/Media Name] the rights to use, edit, and publish any photographs, videos, or recordings taken during [describe the event or purpose of the media capture].
The material may be used for marketing, promotion, educational materials, and other related uses in print and online media.
The Model agrees that no monetary compensation will be provided for this release, and acknowledges that these images may be used indefinitely.
The Model may revoke this release at any time by providing written notice to [Organization/Media Name] with a statement of intent; however, such revocation shall not affect any uses that occurred prior to the receipt of that notice.
This Release shall be governed by the laws of Canada.
[Model’s Signature]
[Model’s Full Name]
[Representative Signature (if applicable)]
[Representative Full Name (if applicable)]
[Release Date]
[Event Title]
[Organization/Media Name]
[Organization Address]
[Contact Phone]
[Contact Email]
[Participant’s Full Name]
[Participant’s Age]
[Participant’s Address]
This Media Release Form (“Release”) allows [Organization/Media Name] to utilize photographs, videos, or audio recordings of [Participant’s Full Name] for marketing and promotional activities starting [Start Date].
The Participant grants [Organization/Media Name] full rights to utilize and distribute images, videos, and recordings captured during [event or purpose description].
Materials may be disseminated for purposes including but not limited to advertising, publicity, social media, and educational outreach.
The Participant acknowledges that no payment will be made in connection with the use of the materials and that the use may continue indefinitely.
The Participant can withdraw consent by sending a written request, although this will not affect any previous uses that were made before the withdrawal was received.
This Release will be governed by the laws of Canada.
[Participant’s Signature]
[Participant’s Full Name]
[Guardian Signature (if under 18)]
[Guardian Full Name (if under 18)]
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