MEDIA CREDENTIALS

MEDIA CREDENTIALS 2025

NAME OF BUSINESS*
EVENT*
POSITION*
Name*
First Last
Phone*
Email*

Website

Social Media User Name:*
Consent*
I agree to the privacy policy.
MEDIA CONSENT, RELEASE, AND WAIVER
I hereby give consent to (the “organization/persons”) to
photograph, videotape, or otherwise digitally record and use images and/or sound recordings of
myself or my child or children (if applicable) to use in any public media, including radio, television,
internet, social media, print or in any of the organization’s or its partners’ publications,
productions, or posts. I understand that the intended use of such images and information is solely
for the purpose of advertising, marketing, fundraising and/or the promotional and public awareness
purposes for the organization. I hereby waive any rights or interest in the images or recordings, as
contemplated in this release.
I acknowledge that this consent to use images and/or recordings is being made solely for the
benefit of the organization and comes without any expectation of monetary compensation or other
benefit to me. To the extent that any benefit accrues or might accrue to the organization from the
use of images or information, I hereby and forever waive any interest in or claim to such benefits.
I hereby release and forever discharge the organization (including without limitation all corporate
affiliates and officers, directors, trustees, donors, employees, agents and volunteers) from any and
all claims, liability, actions, suits, demands, costs, expenses or indebtedness arising out of, related
to, or in any way connected with the use of images and materials described herein, and I hereby
waive all rights and interest in and to such information and materials.
I further acknowledge that there is no guarantee that any or all of the participants’ images or
recordings will be used in any released media.

All media must give copies of all video and photos of the event. We give you the right to sell and advertise on your social media platforms.
I have been informed that this authorization is voluntary and is subject to revocation at any time,
except to the extent that action has been taken in reliance thereon, by notifying the organization .
Untitled

PLEASE READ:

MEDIA CREDENTIALS REQUIRES MEDIA COMPANIES TO GIVE A COPY OF ALL MEDIA (PHOTO/VIDEO) TO SWINCITY MEDIA

PLEASE FILL OUT OUR MEDIA CREDENTIAL FORM.