I attest that I am the parent or legal guardian of the child or children listed below and that I have full authority to consent and authorize Music Pillars to use said videos and photos.

I further acknowledge that participation is voluntary and that neither I, the minor child, or minor children will receive any financial compensation of any type associated with the taking or publication of these photographs or participation in company marketing materials or other Company publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. I acknowledge that Music Pillars has the right to treat the photograph(s) and video(s) at its discretion for formatting purposes. I understand that these videos, images and voice can be used for educational, advertising and promotional purposes in all printed, conventional and electronic media, including but not limited to the Internet, and any future media. No name identifying information will be provided in any such videos and photographs without parental permission.

I release Music Pillars, its contractors, its employees and any third parties involved in the creation or publication of Music Pillars publications, from liability for any claims by me or any third party in connection with my participation or the participation of the minor children.


By typing your name below - you electronically agree to the terms above
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