diff --git a/.github/pull_request_template.md b/.github/pull_request_template.md
index e523720ebcf..d7f6dc0b1f3 100644
--- a/.github/pull_request_template.md
+++ b/.github/pull_request_template.md
@@ -31,3 +31,9 @@ Please fill in the following information about your pull request.
 
 
 ### Additional context
+
+
+
+### Contribution confirmation
+
+By submitting this pull request, I confirm that you can use, modify, copy, and redistribute this contribution, under the terms of your choice.