Testimonial Release Form for Minors

Minor's Information

Parent/Guardian Information

Testimonial

Release Agreement

I, the undersigned, as the parent or legal guardian of the above-named minor, hereby give my permission for the use of the minor’s testimonial, including written statements, photographs, and/or video images, by the organization for any lawful purpose, including marketing, publicity, and web content. I understand that the minor’s identity may be disclosed in connection with the use of this testimonial.