Media Release Authorization

E-sign to authorize Community Thrive to feature your child in our media

Child Information

Parent / Legal Guardian Information

What You're Authorizing

Please review and check each permission you grant:

Electronic Signature

Draw your signature below using your mouse or finger. This signature is legally binding under the U.S. ESIGN Act.

Final Confirmation

Your information is encrypted and securely stored. A signed copy will be emailed to you.