Media Release Agreement
The Nyack Red Storm Marching Band Parent Association often uses photos and videos for promotional purposes, both electronically and in print. Please sign using the link below to verify your permission to use your child's image for these purposes through any medium.
Student First Name: *
Your answer
Student Last Name: *
Your answer
Student Email: *
Your answer
Student Grade: *
*As of September
Your answer
Student Instrument/Color Guard: *
Please indicate the instrument(s) your student plays or if they will be part of the Color Guard
Your answer
Parent/Guardian Name: *
Your answer
Parent/Guardian Email: *
Your answer
Parent/Guardian Home Phone: *
Your answer
Parent/Guardian Cell Phone: *
Your answer
Relationship to student: *
Your answer
I give permission for Nyack Red Storm Parent Association to use my child's image for promotional purposes both electronically and in print. *
Required
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