Photo Permission Form

Photo Permission Form
Type a digital signature below to give permission to use photo for FSMTA purposes:

I give permission for my photograph submitted to a Florida State Music Teachers sponsored event to be used on the official FSMTA website and/or in the official FSMTA Newsletter and/or on the official FSMTA social media accounts (Facebook (floridamta) and Instagram (floridastatemta)). FSMTA acknowledges the contestant’s right to not submit a photo.
Name*
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contestant's digital signature:*
*(FSMTA acknowledges the contestant’s right to not submit a photo. If Photo Permission remains unsigned, FSMTA will not require a photo to be sent.)
Parent's digital signature:*
(If contestant is under 18 years of age)
Should be Empty: