Parent Release Form for Media Recording
I, the undersigned, do hereby grant permission to Prodigy Dance Studio to use the image of my child, _________________________________. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, advertising, videos, and digital images such as those on Prodigy Dance Studio’s website and social media pages (Facebook, Instagram, YouTube, etc).
By signing this form, I understand that I am giving unrestricted permission for my child’s image to be used in print, video, and digital media. I agree that these images may be used by Prodigy Dance Studio for a variety of purposes and that these images may be used without further notifying me. I do understand that the child’s last name will not be used in conjunction with any video or digital images.
Parent/Guardian signature Date
Please Note: A media release form must be filled out for each individual student who enrolls in Prodigy Dance Studio.