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ACTING CONSENT AGREEMENT

 
  1. I, make oath and say that I am the lawful Guardian of:

    , , aged years old, who currently resides at , , , . The child was born , . The childs social security number is .


  2. has my consent to be an actor or performer for , located at , , , . The production is directed by .


  3. This consent is valid starting , lasting up until and including , .


  4. For further information, I can be reached at:


    , ,






    5.  
    Signed this ______________ _____, ________.
     
    :
    Signature:___________________________
    Print Name:___________________________

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