If you have any trouble using this form, you can RSVP by emailing firstname.lastname@example.org or calling 877-863-7473 Ext. 1.
Music for Autism concerts are designed for individuals with autism of all ages! We ask that you provide the date of birth of the individual so we can send a special card on the day!
If your party includes more than 5 people, please submit this form multiple times or just send the information to email@example.com. Thanks!
1. I consent that a statement and/or photograph and/or video and/or movie and/or audio recording may be taken of the concert attendees by Music for Autism, Music for Autism hosting partners or the artists for the purposes of publicizing, promoting, marketing and advertising its activities, programs and services.
2. I grant permission for the above-described material(s) to be distributed to news media for publication and/or broadcast and/or distribution via other means to the general public. I recognize that the precise manner in which the information and material(s) will be used will be determine solely by such new media and I therefore acknowledge that Music for Autism, Music for Autism hosting partners or the Artist has no control over or responsibility for the use of such information and material(s) by the news media.
3. I further grant permission for Music for Autism or Music for Autism hosting partners, at its option, to use the information and material(s) as it sees fit in publications and or productions of its own making and distribution.
4. I understand that concert attendees may be identified by name in connection with the public use of the information and material(s).
5. I hereby release and agree to indemnify Music for Autism, Music for Autism hosting partners or the Artist and their affiliates, successors and assigns and their respective employees, trustees and agents from and against any and all liability, including reasonable attorneys fees, arising out of the exercise of the rights granted by this consent.