Name *

First Name

Last Name

Phone of Parent/Guardian *

The parent or guardian may be called to confirm authenticity.

(###)

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ADULT DECLARATION

I hereby declare that I am the PARENT/GUARDIAN of the minor listed.

I hereby declare that I, the PARENT/GUARDIAN will complete the remainder of the form myself.

I am NOT the PARENT/GUARDIAN, therefore I cannot complete nor submit this release.

Do you trust us to use responsibly the pictures and/or video your child creates with us?

Your checking this release section is the same as signing. Signing is optional.

I APPROVE: I understand this project will do its due diligence to represent my son's images honorably. I hereby give PROJECTSKINNYBOY and its representatives irrevocable consent to use any images, videos, or sound recordings of my son for the project instagram, website or modeling or castings or closely related themes, including advertising, without any approval rights. I release PROJECTSKINNYBOY from any liabilities related to image alterations and acknowledge this as our complete agreement.

I DECLINE to release any footage to PROJECTSKINNYBOY at this time.

Parent/Guardian Birth Date

ex. 08 20 1965

MM

DD

YYYY

Minor's Date of Birth

MM

DD

YYYY