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APPENDIX 14 DECLARATION OF PARENT IN THE ENGAGEMENT

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Please read this form carefully as well as the section of the IPA setting out the minimum
terms and conditions for the engagement of Minors in independently produced film and TV
projects (the "IPA"). This agreement is available from the ACTRA office and will be
provided to you upon request. In addition, if you have any questions they should be
directed to the minor’s Steward at your local ACTRA office. They are there to assist you.
1) If your child is offered a Role in a film or television Production, you, as the
Parent, are required to complete and sign this form and return it to the
Producer prior to a contract being entered into engaging your child.
2) You have the ultimate responsibility for the health, education and welfare
of your child in making decisions concerning your child with respect to his/
her engagement in a Role in a film or television project. The better
informed you are, the better informed decisions you will make.
3) Firstly, you must be familiar with the requirements of the Role your child is
being considered for - this usually means reading the script. It may help
you to speak to the Producer or Director to get a clear picture of what the
Role entails.
4) Having familiarized yourself with the requirements of the Role, you are
required to disclose hereunder any medical history or condition or any
attitudinal or psychological condition which you are aware of which might
foreseeably interfere with or impact on your child's ability to do what may
be required. If you think something might be important but you are not
sure, please fill it in.
5) If your child is less than 16 years of age, you must accompany your child
to or from the set or location and must be accessible while your child is on
the set. If your child is 16 years of age or older, it is your right to be
accessible at all times when your child is on set.
6) If you cannot attend, you shall appoint a chaperon for your child. It is
strongly recommended that this person has your confidence to act in your
child's best interests. The appointment shall be in the form of Appendix 15
and must be completed in triplicate: one copy to be delivered to the
Producer, one to ACTRA and one for you to keep.
APPENDIX 14
DECLARATION OF PARENT IN THE ENGAGEMENT OF
MINORS
(see Article A2704 [a])
IPA 1 January 2019 – 31 December 2021
ACTRA and the CMPA/AQPM
Page 2 of 2
8) You are also responsible to ensure your child's education is taken care
of when your child is working.
If your child is required to work during
regular school days and this interferes with your child's education, you
should consult the school principal or your child's teacher and ask them
what tutoring the child may need. The Producer will institute the tutoring
plan proposed by the principal or teacher, but is up to you to make sure
this is taken care of.
9) Article A2716 of the IPA provides that after a Minor’s total lifetime
remuneration reaches $5,000, 25% percent of the Minor’s gross
remuneration shall be deducted from the total payment due to the Minor
by the Producer and remitted to the ACTRA Performers’ Rights Society,
which shall hold such monies in trust for the Minor. Your child’s
engagement is subject to this provision.
10) The Minor
is a resident of Canada within the meaning of the Income Tax Act of Canada
is not a resident of Canada within the meaning of the Income Tax Act of Canada
If the residence of the Minor changes, I
hereby undertake to promptly notify
ACTRA PRS of the change.
Your signature on this from indicates that you have received a
copy of the
IPA. Please sign and date this form and deliver it to the Producer as soon as
possible.
Date
day of
,
(parent’s signature
(witness signature)
(print or type Parent’s name)
(print or type witness name)
(print or type Minor’s Name)
As you may not be available at all times please fill out and return the
emergency medical authorization form attached allowing the Producer to
obtain emergency treatment when you cannot be contacted at once.
7)
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APPENDIX 14 DECLARATION OF PARENT IN THE ENGAGEMENT

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Completed 15 June 2022

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