CONSENT FORM
GRANTING PERMISSION TO FILM
Please print and sign this document and return.
I hereby grant permission to The OBSESSION Project to use my film/photo image
for display on the OBSESSION web site and/or to use my film/photo image in any
videos, CD-ROMs or printed materials developed and
Distributed by OBSESSION.
Signed: ____________________________ Date:__________________________
Print Name: ________________________________________________________
Address: __________________________________________________________
__________________________________________________________
Telephone : _______________________________________________________
Email : ____________________________________________________________
For actors under 18 years of age, please have a parent
or guardian complete the bottom portion of this form.
I, _____________________________________, the parent or guardian
of _____________________________________, hereby give my consent
to The OBSESSION Project to use any film/photo images taken of my child
for the purposes set forth above.
Signature of
Parent or Guardian:________________________ Date: ____________________
Print Name: ________________________________________________________
Address: __________________________________________________________
__________________________________________________________
Telephone : _______________________________________________________
Email : ___________________________________________________________
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