# Consent Agreement
**This Consent Agreement ("Agreement") is made and entered into as of [Date] by and between the following parties:**
**Party A:**
[Name]
[Address]
[City, State, Zip]
[Email]
[Phone Number]
**Party B:**
[Name]
[Address]
[City, State, Zip]
[Email]
[Phone Number]
**Recitals**
WHEREAS, Party A and Party B wish to enter into this Consent Agreement to outline the terms and conditions under which consent is given for [describe specific purpose or activity].
NOW, THEREFORE, in consideration of the mutual promises and covenants hereinafter set forth, the parties hereby agree as follows:
## 1. Purpose of Consent
The purpose of this Agreement is to establish the conditions under which Party A grants consent to Party B for [specific activity, e.g., use of personal data, participation in an event, etc.].
## 2. Description of the Activity
Party B will [describe what the party will do], commencing on [start date] and concluding on [end date]. The activity will be conducted at [location, if applicable].
## 3. Consent
By signing this Agreement, Party A consents to the following:
- [Detail specific actions that Party B is permitted to undertake.]
- [Include any specific rights or limitations related to the consent.]
## 4. Term of Agreement
This Agreement shall commence on the date first above written and shall continue in effect until [end date or event], unless earlier terminated by either party in accordance with Section 6 of this Agreement.
## 5. Revocation of Consent
Party A may revoke this consent at any time prior to the conclusion of the activity by providing written notice to Party B at the address listed above.
## 6. Termination
Either party may terminate this Agreement for any reason by providing [number of days] days written notice to the other party.
## 7. Governing Law
This Agreement shall be governed by and construed in accordance with the laws of the State of [State].
## 8. Entire Agreement
This Agreement constitutes the entire agreement between Party A and Party B regarding the subject matter hereof, and supersedes all prior agreements and understandings, whether written or oral.
## 9. Amendments
No amendment or modification of this Agreement shall be valid unless made in writing and signed by both parties.
## 10. Signatures
IN WITNESS WHEREOF, the parties hereto have executed this Consent Agreement as of the day and year first above written.
**Party A:**
Signature: _______________________
Name: [Printed Name]
Date: [Date]
**Party B:**
Signature: _______________________
Name: [Printed Name]
Date: [Date]
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**Note:** This template is for informational purposes only and does not constitute legal advice. It is recommended that parties consult with a qualified attorney to review any legal documents before signing.