Media Share Form

PHOTO/VIDEO RELEASE WAIVER

I hereby grant permission to Courtney Fowler Performance Academy (CFPA) and its representatives to photograph and video my son/daughter, and otherwise capture their image. I further grant CFPA and its representatives the right to reproduce, use, exhibit, display, broadcast and distribute these images and recordings in any media now known or later developed for promoting, publicizing or explaining CFPA and its activities including their website. Such photographs are the property of CFPA and may be altered or combined with other images, text, and graphics without notifying me.

* Indicates required field

Name of Parent or Guardian *

First

Last

Email of Parent or Guardian *

Name of Student *

First

Last

Do you give your consent? *

Yes. No.

Submit

MEDIA SHARE

PHOTO/VIDEO RELEASE WAIVER

At CFPA, we work to create a safe, nonjudgemental space for students to discover their authentic self and find the courage to display that confidently, with the support of an accepting community that celebrates uniqueness.