Documentary Interviewee Consent Form
Documentary Information
Project Title
Production Company / Organization
Interviewee Information
Full Name
Contact Email
Phone Number
Address
Consent
I agree to participate in the above-named documentary interview.
I consent to the interview being audio and/or video recorded.
I authorize the use of my image, likeness, and voice for this production.
I understand the interview may be edited and used in whole or in part in the final production.
Additional Comments
Date
Signature