Virtual Fan Panel Broadcast Consent Form
Please complete this form to provide your consent to participate in the virtual fan panel broadcast.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Please read and acknowledge the following consent: By participating in the virtual fan panel broadcast, you grant permission to be recorded, broadcasted, and for your likeness and voice to be used for promotional and commercial purposes by the organizers. You understand that this consent is voluntary and you may withdraw at any time before the broadcast begins.
Date of Consent
*
-
Month
-
Day
Year
Date
Signature (please sign below to confirm your consent)
*
Submit Consent
Submit Consent
Should be Empty: