2021 MPF PHOTO AND VIDEO AUTHORIZATION AND RELEASE FORM form
Multiple Piano Festival

 Signing Below (Parent/Guardian of Student under 18):
1) I grant permission to the Boulder Area Music Teachers Association, on behalf of the child/entrant, for the use of photos and/or videos taken during this event for the Association’s website and/or Facebook presentation
for the purpose of educational announcement.
2) I agree to indemnify, release or hold harmless the above association, its agents or representatives, from
any claims or causes of action arising or related in any respect to the event or the child’s/entrant’s
participation in this event.
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Email *
Email address? *
Teacher Name? *
Student Last name *
Student first name *
MPF Level *
Parent or Guardians Signature *
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