The Video Consent Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring customizable and printable examples.
Video Consent Form Template UK Editable – PrintableSample
1. Participant Information 2. Project Information 3. Purpose of Recording 4. Duration of Video Use 5. Consent Scope 6. Participant Rights 7. Confidentiality and Privacy 8. Acknowledgment of Risks 9. Consent Declaration 10. Signature 11. Emergency Contact InformationVideo Consent Form Template UK
PDF
WORD
Examples
[Name of the Individual]
[Individual’s ID]
[Individual’s Address]
[Individual’s Phone]
[Individual’s Email]
[Name of the Producer/Organization]
[Producer’s ID]
[Producer’s Address]
[Producer’s Phone]
[Producer’s Email]
This consent form grants [Name of the Producer/Organization] permission to record, use, and publish video footage of [Name of the Individual] for the purpose of [Specify purpose, e.g., promotional materials, educational content, etc.].
The Individual hereby grants the Producer the rights to use the video footage captured during [Location/ Event] on [Date].
This consent remains valid indefinitely unless revocation is communicated in writing to the Producer.
The Individual has the right to withdraw consent at any time in writing, upon which the Producer will cease using the footage in future publications.
The Producer agrees to use the footage responsibly and respects the dignity of the Individual, ensuring it is not misrepresented in any context.
The Individual acknowledges that no compensation will be provided for the use of the video footage, except for any explicitly outlined in this agreement.
[Signature of the Individual]
[Name of the Individual]
[Signature of the Producer]
[Name of the Producer/Organization]
[Name of the Individual]
[Individual’s ID]
[Individual’s Address]
[Individual’s Phone]
[Individual’s Email]
[Name of the Producer/Organization]
[Producer’s ID]
[Producer’s Address]
[Producer’s Phone]
[Producer’s Email]
This form serves as a formal agreement wherein [Name of the Individual] grants permission for the recording and use of their likeness in video format for [Specify purpose, e.g., social media content, educational purposes, etc.], which may be shared in various media platforms.
The Individual grants permission for the Producer to utilize the recording for the mentioned purpose without time limitations.
The footage may be used in promotional and educational materials, and the Individual agrees that their identity may be revealed in said materials.
The Producer reserves the right to edit the video material for the purpose of clarity and narrative cohesion without substantially changing the subject matter.
The Individual acknowledges that there are inherent risks involved in video recordings, including but not limited to public exposure, and accepts responsibility for such risks.
This consent shall be governed by the laws of [Jurisdiction, e.g., England and Wales], and any disputes will be settled in accordance with local legislation.
[Signature of the Individual]
[Name of the Individual]
[Signature of the Producer]
[Name of the Producer/Organization]
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