® LEGAL GUARDIAN AUTHORIZATION FORM This document serves as authorization for any person(s) 12 years of age or older who would be considered a minor and wishes to join Origami Owl as an Owlette. The signature of a legal guardian is required for any minor to participate in Origami Owl. Also, a Social Security number will be required of the parent/legal guardian. As a minor’s parent or legal guardian and party to the Independent Designer Enrollment Agreement, you will be fully responsible for the fulfillment of the minor’s responsibilities and obligations under the Independent Designer Agreement. Any act by you will be attributed to the minor, and any act by the minor will be attributed to you. I, , authorize to join the Company Legal Guardian Name (Print) Minor Name (Print) “Origami Owl LLC”, as an Owlette on this day of in the year . Parent | Legal Guardian (Signature) # Legal Guardian | Designer Minor’s Birthday (mm/dd/yyyy) * Last 4 of SSN Please fax this form to 480.247.6355 following the submission of your Origami Owl Designer Enrollment agreement. As the legal guardian, you understand that an IRS 1099 tax form will be sent to owner of the SS# listed above* on or before the required date to assist in the filing of taxes for you and your business. Please refer to Origami Owl’s Independent Designer Policies and Procedures for further information. Welcome to the Nest! © 2014 Origami Owl LLC Auth.
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