Athlete Fan Interaction Media Consent Form
Please complete this form to provide consent for media use during athlete-fan interaction events.
Participant Full Name
*
First Name
Last Name
Participant Email Address
*
example@example.com
Participant Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Event or Interaction Name
*
Event or Interaction Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
If the participant is under 18, please provide the name of the parent or legal guardian authorizing consent (leave blank if not applicable).
Signature of Participant or Guardian
*
Submit Consent
Submit Consent
Should be Empty: