Video and Picture Permission Form 25-26

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The Hart County High School Band from time to time will have video shown and interviews with students. The band also has a web site at www.hartcountyband.com and has pictures posted of the band members as well as pictures sent to local newspapers and other media. We need permission to use video and post pictures to support the band. Please fill out this form to give the HCHS BAND permission to use pictures and video of your child and return it to the band director.

Student Name

Parent or Guardian Name

Date

Select the appropriate response

I give the Hart County HS Band permission to use pictures or video of my child named above.

I DO NOT give the Hart County HS Band permission to use pictures or video of my child named above.

Clear selection

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