Teens in the Driver Seat Photo/Video Release Form
Name of Student or Releasor (this is the person who appears in photograph(s) and/or video(s))
First Name
Last Name
School Lookup
If your school is not found above, please provide it here.
Include full name - no acronyms.
City where School or Organization is located
State
Is this person under 18 years of age?
Yes - (
STOP!
If this is chosen, the student's parent or guardian
must
sign and verify the form. Send this URL to your parent/guardian to complete.)
No (if this is chosen, you may sign and verify the form)
Signer: Submitting will display a signature box, once signed and submitted, you will receive a verification link in your email. Please watch all email folders for the verification email. This step must be completed for the release to be signed.
I understand I need to complete the verification email.
reCAPTCHA helps prevent automated form spam.
The submit button will be disabled until you complete the CAPTCHA.
Contact Information