Influencer Content Media Release Consent Form

Influencer Information

Name Email Phone Number Social Media Handle(s)

Brand/Company Information

Brand/Company Name

Content Description

Describe the Content or Collaboration

Release & Consent

I, the above-named Influencer, hereby grant permission to the above-named Brand/Company and its authorized representatives to use, publish, and distribute the content created as part of our collaboration, including but not limited to photos, videos, written posts, and any material produced for promotional and marketing purposes across all media platforms.

I have read and agree to the above terms.

Influencer Signature Date

Brand/Company Representative Signature Date