Photograph, Video or Audio Recording Consent Form
The European Environment Agency (EEA) encourages Europeans to voice their opinions and
ideas about the environment and its future by entering photographs, videos or audio
recordings in EEA-organised outreach competitions.
[Add a short description of your photograph/video/etc.]
I, ______________________________________________ (recorded person’s full name), do
hereby consent to the use by ________________________(entrant’s full name) of my image,
video, voice, or all three of them, in the item described above.
In addition, I waive any right to inspect or approve the finished video recording.
I agree that all such pictures, video or audio recordings and any reproduction thereof shall
remain the property of the author and that the European Environment Agency may use it as it
sees fit.
I understand that this consent is perpetual, that I may not revoke it, and that it is binding.
I understand that these images may appear publicly as part of EEA’s website and/or other
marketing materials.
Name: _________________________________________________
Date of Birth: _____ / _____/ __________
____________________________________________________________________________
It is understood that this material will be used in a legitimate manner, both internally and
outside EEA and is not intended to cause any harm or undue embarrassment to the parties
involved.
Signature:____________________________________________
Date: _____ / _____ / __________