Adult/Minor Documentary Photo Release

Your first name or the first name of the minor you are completing this form for *

Your last name or the last name of the minor you are completing this form for *

Parent/guardian/Yours (if 18 or older) Phone *

Parent/guardian/Yours (if 18 or older) email address *

As the parent or legal guardian of the minor named above *

I certify that any and all photography, audio and videotape and digital images of the above named minor child participating in the production of a documentary on teens & social media are the sole property of Right Tree and give permission for them to be used, without compensation, at the sole discretion of Right Tree.

As a legal adult (18 year of age or older) I certify that any and all photography, audio and videotape and digital images of me as a participant in the production of the documentary being produced by Right Tree and Peterson Productions are the sole property of Right Tree an give permission for them to be used without compensation, at the sole discretion of Right Tree

Date * +

Please sign *

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