VIDEO TESTIMONIAL RELEASE CONSENT
Purpose of Consent: By signing this form (the “Release”), you are authorizing Bella Luna Family LLC (“Bella Luna Family”) to use and disclose your video testimonial in its marketing and public relations efforts and acknowledge that the testimonial may be distributed to the media, other individuals and entities that may be involved in Bella Luna Family’s marketing and public relations efforts and the public.
Right to Revoke: You have the right to revoke this Release at any time by giving us written notice of your revocation and submitting it to firstname.lastname@example.org. Please understand that revocation of this Release will not affect any action Bella Luna Family took in reliance on this Release before receiving your revocation.
CONSENT TO RELEASE
I hereby authorize Bella Luna Family to copy, exhibit, publish, distribute or otherwise use and disclose my video testimonial and any information in the testimonial for purposes of publicizing its services and products, for any other marketing and public relations efforts or for any other lawful purpose. These statements may be used in printed publications, multimedia presentations, on websites or in any other distribution media. I understand and approve the disclosure by Bella Luna Family of testimonial information to the media, the public and other individuals and entities that may be involved in Bella Luna Family’s marketing and public relations efforts.
I agree that I will make no monetary or other claim against Bella Luna Family for the use of the testimonial. I waive the right of prior approval for the use of my testimonial and hereby release Bella Luna Family from all claims for damages of any kind based on the use of my video testimonial or information provided within the video testimonial.
I understand that signing this Release is voluntary. I am at least 18 years of age and am competent to contract in my own name. I have read this Release before providing consent through the Video Ask website. I fully understand the contents, meaning, and impact of this Release.
If you have any questions, please email email@example.com.