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MEDIA CONSENT AND RELEASE By signing below, I authorize the Durham County Department of Public Health to use my photograph, video image, or likeness for its digital media, official printed publications,
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How to fill out media consent and release

How to fill out media consent and release:
01
Begin by reading through the media consent and release form thoroughly to understand its purpose and the rights you are granting.
02
Fill in your personal information such as your full name, address, phone number, and email address accurately and legibly.
03
If applicable, provide the name and contact information of a parent or guardian if you are a minor.
04
Date the form with the current date to ensure its validity.
05
Read and understand the statement that grants permission for the use of media in various forms such as photographs, videos, audio recordings, and written content.
06
Pay attention to the scope of media use specified in the form. It may outline whether the media can be used in specific contexts, by certain individuals or organizations, or for designated purposes.
07
Consider any limitations or special conditions you may want to negotiate before signing the form, such as prohibiting the use of your media for commercial purposes or specifying a time period for which the consent is valid.
08
Sign and date the form in the designated spaces to indicate your agreement and authorization.
09
If required, have a witness also sign and provide their contact information to verify the validity of the consent and release.
10
Keep a copy of the filled-out media consent and release form for your records.
Who needs media consent and release:
01
Individuals who are minors and cannot legally give consent on their own typically require media consent and release forms signed by their parent or guardian.
02
Any person whose image, voice, or written content is captured in a media production, such as photographs, videos, audio recordings, or written articles, may need to provide media consent and release.
03
Organizations or individuals creating media productions and intending to use them for certain purposes, such as publication, broadcasting, advertising, or distribution, often require individuals to provide media consent and release to safeguard against legal issues related to privacy and intellectual property rights.
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What is media consent and release?
Media consent and release is a legal document that allows individuals to grant permission for their likeness to be used in various forms of media.
Who is required to file media consent and release?
Anyone who is depicted in media content and whose likeness is being used needs to file a media consent and release.
How to fill out media consent and release?
To fill out a media consent and release, individuals need to provide their personal information, grant permission for the use of their likeness, and sign the document.
What is the purpose of media consent and release?
The purpose of media consent and release is to protect the rights of individuals by giving them control over how their likeness is used in media.
What information must be reported on media consent and release?
Media consent and release typically require the individual's full name, contact information, signature, and details about the intended use of their likeness.
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