Authorization Form

PARTIES

  • AUTHROIZATIONS


  • By placing his or her initials next to the corresponding activity set forth below, the PARENT authorizes the MUSIC INSTRUCTOR OR TEACHER ORGANIZATION to undertake that activity.

  • To take and use photographs of my CHILD for promotional or educational purposes on the website and other educational or promotional materials used by the MUSIC INSTRUCTOR OR TEACHER ORGANIZATION.

  • To take and use videotape of my CHILD for promotional or educational purposes on the website and other educational or promotional materials used by the MUSIC INSTRUCTOR OR TEACHER ORGANIZATION.

  • To display Essay and Composition by the CHILD for promotional or educational purposes on the website and other educational or promotional materials used by the MUSIC INSTRUCTOR OR TEACHER ORGANIZATION.
  • DATE/SIGNATURE

 

Verification