First name
Last name
Email
Mobile
1.
Have you read and agree to the Photograph & Video Release Form?
Please select
Yes
No
2.
Please type your full legal name as your signature
3.
By signing this form, you understand that you agree to using an electronic signature.
Please select
Yes
No
4.
If this release is obtained from an individual under the age of 18, then the signature of that individual’s parent or legal guardian is also required. Parent Full Name
5.
Parent - Please type your full name as your signature
6.
Parent - By signing this form, you understand that you agree to using an electronic signature.
Please select
Yes
No