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Emergency Contact - Name & Phone #*

I give CSMA permission to take photographs, recordings, or videos of me/my child as we participate in CSMA activities; and to use such images, recordings, and content for purposes related to CSMA’s mission, including marketing. This permission is given without expectation of payment or other compensation at any time, and the released material shall be the property of the Community School of Music and Arts. This consent includes, but is not limited to: (a) Permission to photograph, film, interview, record, or make a video of me/my child; and (b) Permission to use, reuse, modify, or publish photographs, films, tapes, digital files, recordings, and any derivative works, in part or in whole, and in any format or media, including the internet, for purposes related to CSMA’s mission. To opt out of the Photo, Video, and Recording Release at any time, please contact the CSMA office.