Event Livestream Media Clearance Form
Event Name
Event Date
Event Location
Contact Information
Name
Organization
Email
Livestream Details
Livestream Platform (e.g., YouTube, Facebook, etc.)
Livestream URL
Permissions & Clearances
Will any copyrighted content be included in the stream?
(e.g., music, video clips, artwork, etc.)
Yes
No
Details of permissions obtained or any restrictions
Additional Notes
Notes
Signature (type your name)
Date Signed