On-Camera Release for Minors - NorthSouth Productions
Release agreement — please read
This release is made on

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Participant (minor) information

For verification per 18 U.S.C. § 2256

Signature of participant REQUIRED
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Selfie (Head and Shoulders) REQUIRED
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Participant photo
Parent / Legal Guardian #1 REQUIRED
I confirm that I am the parent or legal guardian of the minor Participant and agree to the terms of this Release on their behalf.
Guardian #1 signature REQUIRED
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Parent / Legal Guardian #2 optional
If a second parent or legal guardian is present, they may also sign below.
Guardian #2 signature (optional)
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NorthSouth Productions LLC · 75 Broad Street, 15th Floor · New York, NY 10004