Healthy Musician Institute Photo Release Form
The Healthy Musician Institute, LLC (DBA 7 Notes Natural Health) is working to make full use of technology and social media to share it’s mission and work with the greater public. To help promote the activities of the Healthy Musician Institute we will post photographs of participants and events throughout the year. Additionally, interviews, audio recordings of recitals, studio classes, workshops, etc. may be made and used to the fullest extent of copyright law.

It is the policy of the Healthy Musician Institute:

•that individuals will not be pictured in potentially embarrassing situations.
•that, if fitting, individuals will be identified by first name only.(Individuals may elect to have no identifier.)

The Photo Release Policy also allows the Healthy Musician Institute to retain rights to the above-mentioned media for potential future use in presentations, articles, books and in all other public distribution.

If you (parent or guardian, if under age 18) wish to rescind this agreement, you may do so at any time in writing by sending a letter to the Healthy Musician Institute and such rescission will take effect upon receipt by the Healthy Musician Institute.
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Student or Event Participant Name (First and Last) *
Do you agree to the above policy? *
Please select one of the following below. *
Name of individual completing this form, if person named above is under 18. (ex. parent or guardian name)
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