Media Release Agreement

Please mark one of the following(Required)

I am over 18 years of age

I am under 18 years of age (Guardian signature will be required)

Name(Required)

First Last

Guardian name

First Last

Relationship

Phone

If under 18, please provide guardian phone number.

If under 18, please provide guardian email.

Photo of you (For identifying you in content)

Max. file size: 50 MB.

Date(Required)

Sign(Required)

Type your full name to sign this agreement. If under 18, guardian must sign with their name.

Comments

This field is for validation purposes and should be left unchanged.