ALL-STAR CHALLENGE PERMISSION FORM

PARENT/GUARDIAN INFORMATION:

STUDENT INFORMATION:

SUBMISSION:

Upload your All-Star Challenge work here.  Files may not exceed 15MB in size. Video files may need to be trimmed to under 45 seconds, depending on the file type. 

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Upload supported file (Max 15MB)

TERMS & CONDITIONS:

I hereby consent to participation in matb-at-home.org challenges, the use of interview quotes, photographs, movies and/or videotapes of the student named above by Music and the Brain/Building for the Arts. I also grant Music and the Brain/Building for the Arts the right to edit, use and reuse said products for nonprofit purposes including use in print, on the internet, and all other forms of media. I also hereby release my child’s school district and it’s agents and
employees of all claims, demands, and liabilities whatsoever in connection with the above.

Parent Signature

MUSIC AND THE BRAIN

Strengthening Young Minds Through Music
Building Skills for School and for Life

a program of nonprofit BUILDING FOR THE ARTS

www.musicandthebrain.org

info@matb-at-home.org

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