*PARENT OR LEGAL GUARDIAN'S EMAIL ADDRESS
*MAILING ADDRESS (where you would like your prize mailed)
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Check this box if your video has already been sent in by another team member.
By checking this box, I represent that I am eighteen (18) years of age or older, that I have the legal authority to sign this
electronic Authorization and Release on behalf of the Child named above, and that I have read the National Center for
Missing & Exploited Children Authorization and Release statement and fully understand its contents.
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