MVTV - Parental Permission Form

Parental Permission Form

Submit parental permission for minors in MVTV studio or field productions. Required for all youth involvement in Martha's Vineyard Community Television.

Minors name:

As the parent/guardian of the above named minor, I hereby give my permission for him/her to use the equipment and facilities of Martha’s Vineyard Community Television (MVTV). The above named minor may participate in community television productions, which take place (please check each permissible location) either:

In the studio:

and/or In the field:

In cases where the above named minor wishes to request facility or equipment use, I will sign all relevant forms accepting responsibility for the equipment and facilities.

In cases where the above named minor wishes to air a program, I will co-sign all necessary documentation in order for the program to air.

I agree to indemnify and hold harmless MVTV from any liability while the above named minor is using the equipment or facilities or airing programming.

Print Name:

Date:

Street Address:

Secondary Address:

Email address:

Phone number:

In case of an emergency, please notify:

Parent/Guardian Signature:

*I understand and agree that electronically typing my name constitutes a legally binding signature. I agree that the electronically stored copy of my signature, authorizations, and documents will be considered the true, accurate, and enforceable record. I will not contest the admissibility or enforceability of these documents.

Thank you! Your submission has been received!

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