Father's Name blanks Father's Occupation blank*
Mother's Name blanks Mother's Occupation blank*
Sibling's Name blanksSibling's Age blankAttending College? Yes No
I, , being eighteen (18) years of age or over I, (parent/guardian)do hereby grant permission to the Maryland State Fair and Agricultural Society,Inc. and its affiliates and subsidiaries, to interview, photograph, and/or videotapeme or my minor child; and/or to supervise any others who may conduct an interview,photography and/or videotaping; and/or permit others to use information fromthe aforementioned interviews, images or videos in educational and promotionalactivities without compensation.