registration & consent form

1
KABAYAN KIDS PASSION AND FASHION CONTEST REGISTRATION & CONSENT FORM Dear Parent/Guardian: Kabayan Weekly and Ansar Mall will organize Kabayan Kids Passion and Fashion Contest at 4 p.m. on Saturday 29 of August 2015 that will feature children’s passion and fashion. We are seeking ages 4 to 12 to participate in fashion contest and teens below 16 years old to participate in Kids & Teens Voice or KTV. In this contest event, there is no cost to participate. Please read and fill out the form in order for your child to be a contestant on this event. If you have any questions regarding your child as a participant, you may contact Kabayan Weekly Office. Please review the Official Contest Rules at _________________________________. PARENTAL/GUARDIAN CONSENT FORM 1. I agree to participate my child in the “KABAYAN KIDS PASSION AND FASHION CONTEST” presented by Ansar Mall and Kabayan Weekly. 2. I give the permission for my child to be photographed, videotaped, and/or interviewed in connection with this event. 3. I give the permission to the show “KABAYAN KIDS PASSION AND FASHION CONTEST” for public relations purposes, including print and online communications media. 4. I authorize the use and production of any/all photographs and video record taken of my child, without compensation to me/my child. All the photographs/video recordings shall be the property of the KABAYAN KIDS PASSION AND FASHION CONTEST organizer. I waive any right to inspect or approve the finished photographs/videotapes, or printed material that may be used in conjunction with them. 5. I agree that my child’s image and short bio to be published in the Kabayan Weekly newspaper and online post. I voluntarily agree to the terms set forth herein and acknowledge and agree that my child and myself are bound by the Official Contest Rules and I am bound by the terms of this parental consent Parent/Legal Guardian Contact Number Email Address Minor’s Full Name Age: Gender Height Parent/Legal Guardian’s Signature Date Signed FOR OFFICE USE ONLY Contestant Number____________________ Approval__________

Upload: sweetclipper-grovera

Post on 14-Dec-2015

191 views

Category:

Documents


0 download

DESCRIPTION

http://kabayanweekly.com/kabayan-kids-passion-and-fashion-contest/

TRANSCRIPT

Page 1: Registration & Consent Form

KABAYAN  KIDS  PASSION  AND  FASHION  CONTEST  REGISTRATION  &  CONSENT  FORM  

 

Dear  Parent/Guardian:  

Kabayan  Weekly  and  Ansar  Mall  will  organize  Kabayan  Kids  Passion  and  Fashion  Contest  at  4  p.m.  on  Saturday  29  of  August  2015  that  will  feature  children’s  passion  and  fashion.  We  are  seeking  ages  4  to  12  to  participate  in  fashion  contest  and  teens  below  16  years  old  to  participate  in  Kids  &  Teens  Voice  or  KTV.  

In  this  contest  event,  there  is  no  cost  to  participate.  Please  read  and  fill  out  the  form  in  order  for  your  child  to  be  a  contestant  on  this  event.  If  you  have  any  questions  regarding  your  child  as  a  participant,  you  may  contact  Kabayan  Weekly  Office.  

Please  review  the  Official  Contest  Rules  at  _________________________________.  

                           PARENTAL/GUARDIAN  CONSENT  FORM  

1.  I  agree  to  participate  my  child  in  the  “KABAYAN  KIDS  PASSION  AND  FASHION  CONTEST”  presented  by  Ansar  Mall  and  Kabayan  Weekly.    

2.  I  give  the  permission  for  my  child  to  be  photographed,  videotaped,  and/or  interviewed  in  connection  with  this  event.  

3.  I  give  the  permission  to  the  show  “KABAYAN  KIDS  PASSION  AND  FASHION  CONTEST”  for  public  relations  purposes,  including  print  and  online  communications  media.    

4.  I  authorize  the  use  and  production  of  any/all  photographs  and  video  record  taken  of  my  child,  without  compensation  to  me/my  child.    All  the  photographs/video  recordings  shall  be  the  property  of  the  KABAYAN  KIDS  PASSION  AND  FASHION  CONTEST  organizer.    I  waive  any  right  to  inspect  or  approve  the  finished  photographs/videotapes,  or  printed  material  that  may  be  used  in  conjunction  with  them.  

5.  I  agree  that  my  child’s  image  and  short  bio  to  be  published  in  the  Kabayan  Weekly  newspaper  and  online  post.  

I  voluntarily  agree  to  the  terms  set  forth  herein  and  acknowledge  and  agree  that  my  child  and  myself  are  bound  by  the  Official  Contest  Rules  and  I  am  bound  by  the  terms  of  this  parental  consent  

 

Parent/Legal  Guardian      

Contact  Number      

Email  Address      

Minor’s  Full  Name   Age:    

Gender   Height      

Parent/Legal  Guardian’s  Signature      

Date  Signed  

 FOR  OFFICE  USE  ONLY  

     Contestant  Number____________________  Approval__________