Page 1

MoFilm and Pepsi are sponsoring a short film competition for aspiring movie makers. Details can be found at the following link http://www.mofilm.com/competitions/pepsi2010/ Please sign your consent to appear in a video for submission to this competition.

REFRESH YOUR WORLD! Global short film submission CONSENT FORM

This form must be completed by all participants appearing in the video, and signed (by parent or guardian if under the age of 18).

Participant School Name: ___________________________________________________________ First Name: _________________________ Last Name: __________________________ Age:______ Home Address: Street Address________________________________________________ City: ________________ Province:______________________ Postal Code:___________________ H ome Phone: ( )

E-mail Address:

Participant Signature (if 18 years or older):

Parent/Guardian Signature (if under 18 years of age)

Consent Form  

MoFilm and Pepsi parental consent form (for people under 18)

Advertisement