Media Request Form

This form is to be used by person/company requesting permission to photograph and/or video any USA Powerlifting competition/event.

USA Powerlifting Media Policy

USA Powerllifting's Release of Claims, Liability and Indemnification Agreement contains releases from each participant, granting the right of USA Powerilfting to photograph and video the participants. We recommend you review the agreement to ensure it satisfies model release forms required for media production.

Approval will be emailed to you within 1-7 business days.

Name *

First Name Last Name

Company Name

Email *

Confirmation Email example@example.com

Phone Number *

Area Code Phone Number

What type of Media *

What is the purpose of the media:? *

If for professional use, have you already set up a photography contract with the meet director?

Yes No

Where will the media be used? *

Website URL (if applicable)

Meet Directors Name *

USA Powerlifting Competition Name *

Date of Competition *

Month Day Year

I understand that as a condition of USA Powerlifting’s permission to permit me to capture images at USA Powerlifting events, I agree to do the following:

To capture and depict only those images, videos, media, and photographs that show USA Powerlifting positively and professionally and that maintain its brand, public image, and good will. *

Yes I agree.

To conduct myself in a positive, professional manner and to maintain, protect, and preserve the USA Powerlifting brand, image, and good will of USA Powerlifting at all times while I attend any USA Powerlifting event. *

Yes I agree.

A white USA Powerlifting logo is to be watermarked on all images for social media and that USA Powerlifting is to be mentioned and hashtagged in all social media posts and to request your customers to as well (@usapowerlifting, #usapowerlifting and #usapl). *

Yes I agree.

Any image to be sold or distributed in any manner for commercial/media purposes requires written permission to be granted by USA Powerlifting prior to any distribution, use or sale. *

Yes I agree.

Photographer retains the rights to sell and distribute images and video taken at the event for personal use only. *

Yes I agree.

USA Powerlifting retains all the media rights to any photos or videos taken at the event and may use photographs or video for website and marketing materials. *

Yes I agree.

I understand there may be financial penalties for noncompliance with the USA Powerlifting media policy. *

Yes I agree.

I need a white watermark logo *

Any additional comments you would like to add?

By signing below I confirm that I understand and will comply with the USA Powerlifting Media requirements. *

Clear