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verified_userConsent & Permission

Photo & Video Consent Form

A photo and video consent form records a person's agreement to be photographed or filmed before you publish or share the content. This free template collects the subject's name, the intended use of the media and a clear permission tick, so you have a proper record on file.

check_circleFree, unlimited responses, no login for respondents

verified_userPhoto & Video Consent Form

What is inside this template

Ready-made questions you can keep, edit or remove.

1Full name of subject
Short text
2Email address
Email
3Intended use of photos or videos
Multiple choice
4Platforms where content may be shared
Checkboxes
5Date of consent
Date
6I give permission to use my image or likeness
Checkboxes
7Additional conditions or notes
Long text

Who uses the photo & video consent form

check_circleSchools and colleges photographing students for newsletters or social media
check_circleEvent organisers capturing footage for promotional use
check_circlePhotographers, videographers and marketing teams shooting brand content

How to use this template

From template to live form in four steps.

touch_appStep 1
Open the template

Click Use This Template to load it straight into your free SurveyHeart account.

editStep 2
Edit the questions

Change the wording, add or remove fields and set what is required. No design work needed.

shareStep 3
Share the link

Send it by WhatsApp, email or QR code. Respondents fill it on any device, no app or login.

table_chartStep 4
Collect responses

See answers in real time and export to Excel, CSV and PDF whenever you want.

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Before you publish a photo or video of someone, a consent form protects both you and the subject. This free photo and video consent form template covers the intended use, the platforms where content may appear and a clear agreement from the person being filmed or photographed. Schools can collect parent consent for children, and businesses can gather model releases for marketing shoots. All responses are timestamped and exportable from your SurveyHeart dashboard. SurveyHeart is not a legal e-signature tool, so check your regional privacy rules when required.

Frequently asked questions

Can I use this for children and minors?

Yes. Add a field for the parent or guardian's name and relationship to the child so the consent comes from the right person.

Can I specify different uses such as website, social media and print?

Yes. Use a checkboxes field to list each intended use so respondents can tick exactly what they agree to.

Is a digital tick legally valid for media consent?

That depends on your region and context. SurveyHeart is not a legal e-signature tool, so consult a legal adviser if formal model release contracts are required.

Can respondents upload a headshot or ID along with consent?

Yes. Add a file-upload field to the template if you need a supporting document with the consent submission.

Use the Photo & Video Consent Form now

Free plan, unlimited responses, no time limit.