Jefferson's Digital Social Waiver Step 1 of 5 20% Please select participants for whom you will be signing Myself (Adult 18+) Minor (Under 18 years) Parent/Guardian & Minors Number of Minors Adult Name* First Last Date of Birth Month Day Year Email* Email for Adult Parent/Guardian Name First Last Parent/Guardian Date of Birth Month Day Year Parent/Guardian Email Minor's First Name First Last Minor's Date of Birth Month Day Year Minor's Email (Can be Guardian's Email) By checking the box below, you grant permission for us to capture and use photos and/or videos taken of you and/or your child(ren) during this photo shoot for marketing, promotional, advertising, and social media purposes. You confirm that you are the parent or legal guardian of any minor(s) included and have the authority to provide this consent on their behalf.* I consent to the above