Media Release Agreement
The Nyack Red Storm Marching Band Parent Association often uses photos and videos for promotional purposes, both electronically and in print. Please sign using the link below to verify your permission to use your child's image for these purposes through any medium.
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Student First Name: *
Student Last Name: *
Student Email: *
Student Grade: *
*As of September
Student Instrument/Color Guard: *
Please indicate the instrument(s) your student plays or if they will be part of the Color Guard
Parent/Guardian Name: *
Parent/Guardian Email: *
Parent/Guardian Home Phone: *
Parent/Guardian Cell Phone: *
Relationship to student: *
I give permission for Nyack Red Storm Parent Association to use my child's image for promotional purposes both electronically and in print. *
Required
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