Serena Eades Academy of Music Photo/Video Consent & Release Form

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Without expectation or other remuneration, now or in the future, I hereby give my consent to Serena Eades Academy of Music to use my/my child’s image and likeness and/or any interview statements from me in its publications, advertising or other media activities (including the internet/social media).

This consent includes, but is not limited to:

(a) Permission to interview, film, photograph, record, or otherwise make a video reproduction of me/my child and/or record my/my child’s voice or instrument playing;

(b) Permission to use my/my child’s name; and

(c) Permission to use quotes from the interview(s) (or excerpts from such quotes), the film, photograph(s), reproduction(s) of me/my child, and/or recording of my/my child’s voice/instrument playing, in part or in whole, in its publications, in newspapers, magazines and other print media, on television, radio and electronic media (including the internet/social media) and/or in mailings for education and awareness.

 

Consent: By clicking the checkbox in my registration form I agree to these terms and conditions.

(Consent is not mandatory - we will respect you/your child’s privacy).