Video consent

  • Video Consent and Release Form

  • The below-signed parent or legal guardian of the above-named minor child hereby consents to and gives permission to the above on behalf of such minor child.
    This consent is given in perpetuity and does not require prior approval by me.
  • DD slash MM slash YYYY
  • Should you need clarification regarding the consent or any other concern, please do not hesitate to contact me before signing the consent.