PERMISSION FORM FOR USE OF STUDENT PICTURE, VOICE, VIDEO, WORK AND/OR FULL NAME ON ARTISTAS Y MUSICOS LATINO AMERICANOS (AMLA), ESPERANZA, FUNDERS/PARTNERS WEBSITE
This form is to both inform you and request permission for your child’s picture, voice, video, performance and/or full name to be published on AMLA, Esperanza, or Partners/Funders website.
Students images are use on the Internet to promote student activities and celebrate student work. Occasionally, we receive a request from Funders to share images, voices, performance, video and/or full name of students to demonstrate in their media platforms the work they are funding in our communities. This form also gives you the opportunity to give us permission to share these with our partners/funders as well as traditional media such as TV when and if AMLA is featured for a special program or performance. Please complete this form and return to AMLA’s Program Director to indicate if your child’s image, voice, work, video and/or full name maybe used on the Internet. This permission will be applicable to any use of full name, picture, voice, performance or video taken while participating in AMLA program(s) as per the options provided below and will remain in effect until the full name, picture, video, work or voice is removed from the website or until consent is withdrawn. As parent or legal guardian, you may withdraw your consent at any time by sending a written letter, along with a new form, to the AMLA Program Director.
Select one of the following options: