banneren

A. About the video

Video Title:
Group Name:
Send the video:
Send the script (in Word):

B. About the group members

1

Name:

Age:

y/o

Passport number:

Role in the video:

Name of the person responsible for the minor:

Passport number of the person responsible:

Address:

TEL:

MAIL:

Do You Agree?

I agree

I do not agree

* The person responsible for the minor agrees to the terms specified in the regulations for participation in Festivalzinho Tupiniquim.

2

Name:

Age:

y/o

Passport number:

Role in the video:

Name of the person responsible for the minor:

Passport number of the person responsible:

Address:

TEL:

MAIL:

Do You Agree?

I agree

I do not agree

* The person responsible for the minor agrees to the terms specified in the regulations for participation in Festivalzinho Tupiniquim.

3

Name:

Age:

y/o

Passport number:

Role in the video:

Name of the person responsible for the minor:

Passport number of the person responsible:

Address:

TEL:

MAIL:

Do You Agree?

I agree

I do not agree

* The person responsible for the minor agrees to the terms specified in the regulations for participation in Festivalzinho Tupiniquim.

4

Name:

Age:

y/o

Passport number:

Role in the video:

Name of the person responsible for the minor:

Passport number of the person responsible:

Address:

TEL:

MAIL:

Do You Agree?

I agree

I do not agree

* The person responsible for the minor agrees to the terms specified in the regulations for participation in Festivalzinho Tupiniquim.

5

Name:

Age:

y/o

Passport number:

Role in the video:

Name of the person responsible for the minor:

Passport number of the person responsible:

Address:

TEL:

MAIL:

Do You Agree?

I agree

I do not agree

* The person responsible for the minor agrees to the terms specified in the regulations for participation in Festivalzinho Tupiniquim.