First name *

Last name *

Names of minors (under 18 years), if any

Email *

Phone number *

Signature (full name) *

Date *

I hereby authorize Our Just Future to publish photographs taken of me and/or undersigned minor children for use in their printed publications, website and social media. I also authorize the media to use and publish my personal information and my testimonial. Also, I attest that I am the parent or legal guardian of children listed below and have the authority to authorize Our Just Future to use their photos and names. I acknowledge my participation in publications and websites produced by Our Just Future is voluntary, neither minor children nor I will receive financial compensation. I release Our Just Future and its employees from liability for any claims by me or any third party in connection with my/our participation. *