Image release

Form to authorize the use of photos and videos of a person (or a minor) on websites, social media and other materials.

Reference template. In specific cases, have the document reviewed by a lawyer.

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Who authorizes

Full name or company name

ID or registration number (optional)

Full address

Name of the minor portrayed (optional) Fill in only if the image is of a child or teenager: the parent or legal guardian signs.

Who will use the image

Full name or company name

ID or registration number (optional)

Use of the image

Purpose

Media where it will be published

Authorization period

Compensation

Currency

Compensation amount

Place and date

City where it is signed

Signing date

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IMAGE RELEASE

I, ________________, with address at ________________, hereby authorize ________________ (the "Authorized Party") to use my image, as captured in photographs, videos and other recordings, for the following purpose: ________________.

The image may be published in the following media: ________________, for a period of ________________.

This authorization is granted free of charge.

The image shall not be used in any way that harms the honor or reputation of the person portrayed, or for purposes other than those authorized herein.

________________, November 14, 2026.

________________

ID: ________________

AUTHORIZED BY

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