Minor Appearance Request

MINOR APPEARANCE REQUEST

Client Name:

Minor Name:    Date of Birth:

Parties

Parent/Legal Guardian Name:

Parent Phone:    Parent Email:

WHEREAS

WHEREAS, Parent/Legal Guardian is the lawful guardian of the Minor named above and has the authority to grant consent for the Minor's public appearance, performance, and use of the Minor's likeness; and

WHEREAS, Producer requires the Minor's presence for the activity described in this Minor Appearance Request and seeks parental authorization to present, record, broadcast, reproduce, and otherwise exploit the Minor's appearance under the terms set forth herein; and

WHEREAS, the parties intend this document to constitute a binding request and consent that, upon acceptance by Producer, shall define compensation, scheduling, and legal obligations with respect to the Minor's appearance.

Scope of Work

Payment Terms

Total Compensation: $    Method of Payment:

Late Payment Fee:    Expense Reimbursement:

Term and Termination

Engagement Start Date:    Engagement End Date:

Either party may terminate this request upon written notice to the other party. Notice Period: . Termination shall not relieve Producer of payment obligations for services rendered or deposits nonrefundable as set forth in Payment Terms.

Consent, Release and Insurance

Parent/Legal Guardian hereby consents to the Minor's participation in the activities described above. Parent grants Producer, its successors and assigns, the irrevocable, worldwide, royalty-free right to record, photograph, reproduce, distribute, exhibit, and otherwise use the Minor's name, image, voice, performance, and likeness in connection with the production and exploitation of materials arising from the appearance, in any media now known or hereafter devised, for the term of the applicable rights.

Parent represents that Parent has the legal authority to grant the foregoing rights and releases Producer from claims related to moral rights, publicity, privacy, and any derivative uses, except for willful misconduct. Producer is responsible for maintaining commercially reasonable liability insurance for activities on Producer premises; Parent acknowledges that Producer shall not be liable for ordinary negligence beyond available insurance limits.

Confidentiality

The parties acknowledge that certain information related to the production may be confidential. Parent and Minor shall not disclose any confidential production information obtained in connection with the Minor's appearance, including unreleased materials, scripts, or production schedules, except as permitted in writing by Producer. This obligation survives termination of this request for a period of two years.

Representations and Warranties

Parent represents and warrants that Parent is the sole legal guardian with authority to execute this Minor Appearance Request; that no other third-party consents are required; and that the execution and performance of this Request will not violate any other agreement to which the Minor or Parent is bound.

Governing Law

This Minor Appearance Request shall be governed by and construed in accordance with the laws of the State of , without regard to conflict-of-law principles.

Entire Agreement

This document, together with any attached schedules and payment provisions acknowledged by the parties, constitutes the entire agreement between Parent and Producer with respect to the Minor's appearance and supersedes all prior oral or written agreements. Any amendment or modification must be in writing and signed by both parties.

Notices

Notices required under this Request shall be delivered in writing to the contact information provided above and shall be effective upon receipt.

Additional Provisions

Acknowledgment

By signing below, Parent/Legal Guardian certifies under penalty of perjury that the information provided is true and correct, that Parent has read and understands this Minor Appearance Request, and that Parent consents on behalf of the Minor to the terms set forth herein.

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