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CONFIDENTIAL
BKT MEDIA
8. Acknowledgment
I affirm that I have read and understood this form and agree to its terms. I confirm that all
information provided is accurate and that I have the legal authority to represent the minor listed
below.
Signatures
Minor Talent Name: ____________________________________
Date of Birth: __________________________________________
BKT MEDIA
Primary Guardian Name: __________________________________
Signature: _____________________________________________
Date: _________________________________________________
Authorized Representative – Baby Kid Teen Media Group
Name: _________________________________________________
Signature: _____________________________________________
Date: _________________________________________________
CONFIDENTIAL
We honor your role. We protect your child. We build legacy—with clarity, care, and
collaboration.

