Choir Media Release Waiver Form
Please complete this form to grant permission for media use related to choir activities.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
I hereby grant permission to use my image, voice, and/or likeness in media related to the choir.
*
I Agree
I Do Not Agree
Additional Comments or Restrictions
Signature
*
Submit
Should be Empty: