Name *

First Name

Last Name

Parent/Legal Guardian name *

Enter the contact name of your Parent or Legal Guardian. We will reach out to them to obtain their consent for your participation in this docuseries.

First Name

Last Name

Parent/Legal Guardian Phone

optional

Country

(###)

###

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Parent Consent *

I certify that the information provided is the contact information for "In my World" to obtain parental/legal guardian consent.