USA Child Acting Consent
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PDF Child Acting Consent Form

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.

More about Child Acting Consent legal forms.

  • Proceed through this form, providing as much information as possible.
  • Do not use the '&' (ampersand) and '"' (double-quotation mark) characters.
  • When you are done, click on 'Build Document' at the bottom.

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. January 6th, 2006):

Enter the end date (e.g. March 17th, 2006):

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, 2005):