Photo/Video Consent & Media Release Form

CONSENT FORM- to use my photo/Videos off my approved Social Media list to PixieCrystal Video Productions for Editing and Promotion Purposes ONLY. All approved Artwork can/will be displayed in the PixieCrystal Network and Website, with proper credits and links to promote our Company or Website.

If you are under the age of 18, please have a legal guardian fill this out and put ALL details in the RESTRICTED section of the form. YOU MUST HAVE PARENTIAL CONSENT BEFORE I START WORKING WITH YOU.

Please use correct spelling/grammar and proper LINKS. I will copy and paste for time saving purpose.

I DO NOT work with any (X-RATED) stuff, so don't even ask!
KEEP IT CLEAN

Email for Further Details:
PixieCrystalVideoProductions@gmail.com

Legal First name

Legal Last name

TAG/Online Nickname

If you would like to keep your personal identity PRIVATE, I will make sure you are listed under this name in all my public files.

Phone

Company name or Website

N/A if NONE

Position

N/A if it doesn't apply

Date of birth

Month

Day

Year

I hereby give my consent to use my photo/Videos off my approved Social Media list to PixieCrystal Video Productions for Editing and Promotion Purposes ONLY. All Artwork can/will be displayed in the PixieCrystal Network and Website, with proper credits and links to promote my company.

I (DO NOT) give my consent to use my photo/Videos off my approved Social Media list to PixieCrystal Video Productions for Editing and Promotion Purposes ONLY. I would like this to be a PRIVATE EVENT- (PUT DETAILS IN RESTICTIONS)

More Information, PLEASE!

Let's Talk About it!

All APPROVED Website and Social Media LINKS

This CONSENT is for a Child UNDER THE AGE OF 18. I am the LEGAL Guardian and give consent for PixieCrystal to work with my child directly. PLEASE LIST RESTRICTIONS!

Minor's Info

Please List- Name, Age, Tag (Nickname) of Minor, and any Social Media. Privacy is very important, so please share only public information. Please contact PixieCrystal directly for more information.

All RESTRICTIONS

Confirm with your initials