NB Media Release Form

NEWBOY
I hereby grant The New B.O.Y. Mentor Program, Inc. permission to use my son's likeness in a photograph/video, without payment or any other compensation. If the participant is under 21, there must be consent by a parent or guardian, as follows: I hereby certify that I am the parent or guardian. and do hereby give my consent without reservation to the foregoing on behalf of this person.
(Child's Name)
(Parent/Guardian's Signature)

Clear
(Date)

MonthDay Year
Date
I am 21 years of age and am competent to contract on my own behalf. I have read this release form before signing below, and I fully understand the contents, meaning, and impact of this release.
(Signature)

Clear
(Print Name)
Date

MonthDay Year
Date
Email
example@example.com
Should be Empty:

NEWBOY