Testimonial Release - Template, Sample Form to Complete Pro · US-law
✓ Valid in United States · drafted to comply with local law
Create your Testimonial Release - Template, Sample Form to Complete for use in United States. Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share. This version has been professionally rewritten to comply with local law.
- Answer 15 simple questions — the document fills in as you go
- Live preview: watch your document update in real time
- Download as Word (.docx) and PDF
- Edit your answers and re-download anytime
Fill in the details
0/15Type below — the document on the right updates as you go.
TESTIMONIAL RELEASE AND CONSENT AGREEMENT
Governing State: ________
Effective Date: ________
This Testimonial Release and Consent Agreement (the “Release”) is made and entered into as of the Effective Date set forth above by and between the Releasor and the Release Receiver identified below.
§ 1. PARTIES.
(a) Releasor. Name: ________; Address: ________; Email: ________; Telephone: ________. The party identified in this subsection is referred to throughout this Release as “the Releasor,” “I,” “me,” and through the use of other first-person pronouns.
(b) Release Receiver. Name: ________; Primary Address: ________. The party identified in this subsection, together with its employees, officers, directors, members, affiliates, successors, assigns, associates, representatives, licensees, and agents, is collectively referred to throughout this Release as the “Release Receiver.”
§ 2. GRANT OF CONSENT AND LICENSE.
(b) This consent and license is realized, effective, and enforceable as of the Effective Date set forth above.
§ 3. THE RELEASED TESTIMONIAL.
(a) The “Released Testimonial” consists of the following statement(s), together with my name, voice, likeness, image, photograph, and any other identifying characteristics provided in connection therewith:
________
(b) The Released Testimonial was made on the following date: ________.
§ 5. ACKNOWLEDGMENT REGARDING PUBLIC DISCLOSURE. I give consent to the use of the Released Testimonial knowing and understanding that my name, comments, and other identifying factors may be revealed to the general public. Notwithstanding the foregoing, the Release Receiver shall not disclose to any party in any medium my residential or physical address, email address, telephone number, or any other private contact details.
§ 6. REPRESENTATIONS AND WARRANTIES. I represent and warrant to the Release Receiver that: (a) I am the author and sole owner of the Released Testimonial and the statements therein are true and accurate to the best of my knowledge; (b) I have the full power, right, and authority to grant the rights and authorizations set forth in this Release; and (c) the Released Testimonial does not and will not infringe, misappropriate, or violate the intellectual property, privacy, publicity, or other rights of any third party.
§ 7. INDEMNIFICATION. I shall indemnify, defend, and hold the Release Receiver harmless from and against any and all losses, damages, liabilities, costs, and expenses, including reasonable attorneys’ fees and court costs, arising from or in connection with any breach of my representations, warranties, or obligations under this Release or the use of the Released Testimonial as permitted herein.
§ 8. CONSIDERATION. The Release Receiver shall not be obligated to provide any monetary compensation to me in exchange for the rights granted herein, and I acknowledge that I have received good, valuable, and sufficient consideration, the receipt and adequacy of which are hereby acknowledged, for entering into this Release.
§ 9. ENTIRE AGREEMENT; AMENDMENT. This Release constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes any and all prior agreements, understandings, negotiations, or representations, whether written or oral. No modification or amendment to this Release shall be valid or binding unless made in writing and signed by both parties.
§ 10. GOVERNING LAW; VENUE. This Release shall be governed by and construed in accordance with the laws of the State of ________, without regard to its conflict-of-laws principles. The parties consent to the exclusive jurisdiction and venue of the state and federal courts located in ________ County, in the aforesaid State, for the resolution of any dispute arising out of or relating to this Release.
§ 11. SEVERABILITY. If any provision of this Release is held to be invalid, illegal, or unenforceable, the remaining provisions shall remain in full force and effect to the maximum extent permitted by law, and the invalid provision shall be modified to the minimum extent necessary to render it enforceable while preserving the parties’ intent.
§ 12. WAIVER; ASSIGNMENT. No waiver of any provision of this Release shall be deemed a waiver of any other provision or of any subsequent breach. The Release Receiver may freely assign or transfer its rights and obligations under this Release; I may not assign my obligations without the prior written consent of the Release Receiver.
§ 13. ACKNOWLEDGMENT OF CAPACITY. I am at least eighteen (18) years of age and possess full legal right, capacity, and authority to consent to the terms of this Release. I have read and understood this Release in its entirety and execute it voluntarily.
IN WITNESS WHEREOF, the Releasor has executed this Testimonial Release as of the date set forth below.
Name of Releasor: ________
Signature of Releasor: _____________________________________
Date of Signature: ________
ACCEPTED AND AGREED — RELEASE RECEIVER
Name: ________
Title (if applicable): ________
Signature: _____________________________________
Date of Signature: ________
Fields you complete are inserted into the document live. This template is general guidance only — not legal advice.