Kids’ TV Show Audience Consent Form
Child’s Information
Full Name of Child
Age
Date of Birth
Parent/Guardian Information
Full Name of Parent/Guardian
Contact Number
Email Address
Consent
I consent to my child’s participation in the Kids’ TV Show and for their image and voice to be recorded and broadcast.
I understand the data collected will be used solely for the purposes of the TV show production.
Additional Information (Allergies, Special Needs, etc.)
Parent/Guardian Signature
Date