Release Form

Video, Audio, Photo, Release Form

* Indicates required field

Legal Guardian Name *

First

Last

Actors Name *

First

Last

Additional Siblings Included in this form *

As the undersigned adult I affirm that I am the parent and/or legal guardian of the above referenced minor (Child). By signing this waiver, I hereby grant permission for Mouth of the Wolf Productions, Inc. to have the absolute right to publish, use, or assign any and all photographs or videos, or audio taken of my child as student performer for Mouth of the Wolf Productions, Inc. INDICATED BY MY ELECTRONIC SIGNATURE SIGN BELOW *

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