Sing Your Story Permission Form

My child has my permission, as outlined below, to participate in Sing Your Story, managed by Shea's Performing Arts Center, with workshops located at Shea's 710 Theatre, Shea's Smith Theatre, Shea's Buffalo Theatre, or at any other sites as planned.

I, the individual whose signature and printed name appear below, hereby give Shea's permission to record my and/or my child's image, voice, and work for pre-approved interviews and data collection. I hereby acknowledge that such recording(s) may be made directly by Shea's or by third parties on Shea's behalf, and may take the form of photographs, video, and/or other formats.

I give Shea's my further permission to use, at no cost to them, any or all parts of such recordings for purposes of Shea's goal of providing arts enrichment opportunities to all members of the community. Such uses include but are not limited to: featuring students on the Shea's website, making recordings available to news publications, or studying the structure and effects of Shea's programming.

I hereby release Shea's from any and all claims that I now have or may acquire in the future by Shea's making or use of recordings as described above and use of my child's name, voice, and/or image. In consideration for my child being allowed to participate in this activity, I hereby release Shea's and their affiliates from any and all claims of liability including but not limited to injury I or my child may sustain during my child's participation in this program. I am aware and agree that once my child leaves for the day, Shea's and its affiliates are not responsible for their whereabouts, actions, or welfare.

Please select "Yes" or "No" based on the following prompt.