Social Media Consent & Release Form

Independence Clean Co

Dear Client,

As part of growing my cleaning business and sharing the value of the work I do, I would love the opportunity to capture short video clips while I’m cleaning your space. These videos may be shared on social media platforms (like Instagram, TikTok, or Facebook) for marketing and educational purposes.

Please know:

• No identifying information (such as your name, address, personal photos, or unique features of your home) will ever be shown.

• I will only record areas being cleaned and focus on the process or results.

• You can revoke consent at any time by notifying me in writing.

Client Consent

I, __________________________________________ (client’s name),
give Independence Clean Co permission to record and use video or photo content taken while cleaning my property for promotional use on social media and related platforms.

[ ] I agree to this use and understand no personal/identifying features will be shown.
[ ] I do not give consent for any recording or social media use.

Client Signature: ___________________________
Date: ___________________