Media Consent Form
List of Collected Signatures
Name
warning
Successfully signature has been added.
Consent for yourself
*
First Name
*
Last Name
*
Email
*
Phone
Consent for a dependent
Child/Adult First Name
Child/Adult Last Name
DOB of consented person
Description (e.g. Wearing red shirt, dark brown hair)
Postal Code
Consent for
Online/Social/Electronic Media
Internal The Humour Foundation use and partner presentations
Print media
All of the above
E-Signature
Sign in the canvas below and save your signature as an image!
Terms and Conditions
Clear Signature
Previous
Add Signature
Save