Page 13 - BABY KID TEEN MEDIA NATIONAL TALENT INFO AND LEGAL DOCUMENTS WATER MARKED_Neat

CONFIDENTIAL
Additional Guardian Name: ____________________________________
BKT MEDIA
Relationship to Talent: ________________________________________
Phone Number: ______________________________________________
Email Address: _______________________________________________

4. Confidentiality of Information

I understand that all communications, schedules, media, and personal information shared by
Baby Kid Teen Media Group will be kept confidential and disclosed only to the individuals
listed on this form. I agree not to share proprietary or sensitive information with outside parties.

individual to act on my behalf: CONFIDENTIAL
BKT MEDIA
5. Address Verification

Talent Address: ______________________________________________
Guardian Address: ____________________________________________
☐ Same as Talent
☐ Different (please specify above)

6. Relationship to Talent

Your Relationship to Talent:
☐ Parent
☐ Legal Guardian
☐ Other (please specify): _______________________

7. Alternate Guardian Protocol

In the event that I am ill, unavailable, or unable to fulfill my duties, I authorize the following

Alternate Guardian Name: _____________________________________
Phone Number: ______________________________________________
Email Address: _______________________________________________
Relationship to Talent: ________________________________________

This individual may receive updates, make decisions, and accompany Talent to scheduled Media
Group activities.