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Child Acting Consent

US Territories Child Acting Consent


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US Territories Child Acting Consent

[What is a Child Acting Consent?]

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A Child Acting Consent is used by a child's parent(s) or guardian(s) to grant the child permission to participate in a production (for example, a play, motion picture, or television show). It specifies whether the child will have an escort while on set, and also states the parent's/guardian's contact information.

This document is accurate and up to date! It was last reviewed by a lawyer in February 2012.


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Parent/Guardian Information:

A child's legal guardian is the person they live with, and who takes care of them. In most cases, this is the parents, or a single parent if there is not joint custody.
How many legal guardians does the child have?
 
First Guardian's Name:
Second Guardian's Name:

Guardian's Residence:

Address:
City:
Country:
State:
Province:
Zip Code:

Contact Information:

Home Phone (e.g. (302) 472-7392):
Work Phone:
Mobile Phone:
Fax:
E-mail:
 

Child's Information:

Personal Information:

Full Name (e.g. George Robert Smith):
Gender:
Date of Birth (e.g. June 3rd, 1994):
Current Age (e.g. 12):
Social Security Number:

Child's Residence:

Address:
City:
Country:
State:
Province:
Zip Code:
 

Production Information:

Name of Production:
Director:
Production Address:
City:
Country:
State:
Province:
Zip Code:
 

Escort:

An escort is someone who helps supervise your child and accompanies them while they are participating in the production.
Will your child have an escort?
Yes No
Escort's Name:
Address:
City:
Country:
State:
Province:
Zip Code:
Phone (e.g. (302) 472-7392):
 

Length of Agreement:

Enter the start date (e.g. December 6th, 2012):
Enter the end date (e.g. December 17th, 2012):
 

Signing Conditions:

We recommend that this form be notarized, to ensure its validity.
Will a notary be present?
Yes No
Where will this form be signed?:
State:
Province:
You may leave the date blank if you do not know it.
Date of Signing (e.g. May 3rd, 2012):