All students must read and sign this authorization form. **For anyone under the age of 18, a parent or guardian must also sign in the appropriate box below.
If you have any questions about this form, please contact Ronda Respess at 404-808-4026 or fpcm@franklinpond.org
By attending Franklin Pond Chamber Music (FPCM), or any FPCM co-sponsored classes or events, at any location, the attendee agrees that FPCM shall have the unrestricted right and license to use his or her image, likeness, name, voice, comment, or other proprietary or public rights, in any broadcast, telecast, photograph, video, audio sound, audiovisual, and/or other recording taken in connection with the class, event, or other transmission, distribution, public performance, or reproduction, in whole or in part, of the class or event for all purposes, worldwide, in perpetuity, and in any and all media now or hereafter known, without compensation. FPCM is the exclusive owner of all copyrights and other proprietary rights associated with same. The rights granted herein to FPCM are assignable.
By signing below, I acknowledge that I have read and understood the terms of this Media Authorization and Release.
I am the parent/legal guardian of the below-named child/minor and as such am fully authorized to enter into this agreement on his/her behalf. I hereby release and agree to indemnify Franklin Pond from and against any and all liability arising out of the exercise of the rights granted in this Authorization and Release.
