Media Release and Consent Form

I hereby grant Creative Repute permission to use my photograph, likeness, voice, and/or comments in whole or in part, without restriction, in media materials for promotional, educational, or other lawful purposes.(Required)
Do you agree to waive the right to inspect or approve the finished product where your likeness appears?(Required)

Full Legal Name(Required)
Mailing Address(Required)

Section Break

Please specify the types of media where consent is granted (check all that apply):
Drop files here or
Accepted file types: pdf, jpg, jpeg, png, gif, mp4, mov, avi, Max. file size: 100 MB, Max. files: 5.
    Ownership Confirmation(Required)

    Thank you for sharing your media with us. We appreciate your contribution and your trust. If you have any questions about how your content may be used, please contact us directly at: info@creativerepute.com