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ADULT OR MINOR TALENT RELEASECheck the box that applies:For Adult Model: I, ___ (\” Model\”), hereby agree to allow Blue Cross and Blue Shield of North Carolina (\” BCB SNC\”), an independent
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Obtain the April adult form from the designated organization or website.
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Fill out your personal information such as name, address, date of birth, and contact information.
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Anyone who is an adult and meets the eligibility criteria for the April program may need to fill out the form.
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Individuals seeking financial assistance, benefits, or services for the month of April may also need to complete the form.

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