LMSD Photo Release Form

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Online Photo Release 2022. Please note: you are able to print and manually fill out this form if you would prefer.

LMSD Student(s) Name: *

Date: *

YYYY

I hereby authorize Lisa Marie's School of Dance Inc. permission to use my child(ren)'s photograph and/or prints in the studio's 'Annual Recital Program' yearbook, studio social media pages and studio website. *

YES, consider this acknowledgement my virtual signature of authorization.

NO, please do not include my child(ren) in these media outlets or print materials.

Required

Parent/Guardian Name and Contact Phone Number *

THANK YOU!

Your privacy is very important to us and know that we take the safety of our students' well-being very seriously. Whether you have selected 'YES' or 'NO', please note that you are able to change your preference at any point in the dance season. Please communicate these changes with LMSD via written email as soon as possible to ensure immediate action and awareness amongst our faculty and media team.

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