Consent, waivers & agreements

Photo and video release form template

Permission to use someone's image in marketing, with scope choices and a typed signature.

5 questions · about 1 minute to complete · free on every plan

Free account required. The template is copied into your workspace; edit anything before publishing.

When to use it: At events, shoots and when collecting testimonials.
Who it is for: People appearing in photos or video.

How to use this template

Put the full text in the intro and require an explicit 'I agree' question.
Collect a typed name and date as the signature.
Keep exports; they are your record.

Questions in the photo and video release form template

1. Your details
contact info
2. I consent to my image being used for
multi choice · Website, Social media, Print materials, Advertising, Internal use only
3. May we use your name alongside the image?
single choice · Yes, No
4. I have read the release and agree
single choice · I agree, I do not agree
5. Date
date

What the results look like

IllustrativeSynthetic sample of 120 responses generated for this preview, not real survey data. Your results page shows the same charts for your own responses.

1.I consent to my image being used for

108 answered

Answer distribution
Answer	Count	Percent
Website	84	78%
Social media	14	13%
Print materials	45	42%
Advertising	46	43%
Internal use only	17	16%

2.May we use your name alongside the image?

120 answered

Answer distribution
Answer	Count	Percent
Yes	32	27%
No	88	73%

3.I have read the release and agree

120 answered

Answer distribution
Answer	Count	Percent
I agree	20	17%
I do not agree	100	83%

How to read these questions

multi choice: Percentages add up to more than 100% because people can pick several. Compare options by share of respondents, not share of picks.
single choice: Read the share choosing each option, then cross-tab by a segment question to see who differs.

Frequently asked questions

Is a form a valid electronic signature?

In many jurisdictions a typed name with an explicit agreement and a timestamp is acceptable for low-risk consents; for contracts, check local law or use an e-signature tool.

How long does the photo and video release form take to complete?

About 1 minute: 5 questions, most of them single-tap. Every question can be edited, removed or reordered in the builder before you publish.

Is this template free to use?

Yes. Every template is included on the Free plan. Sign up, click Use this template, and it is copied into your workspace where you can edit it, add your logo and share it by link, email or embed.