SOUNDS OF SUCCESS

PARENTAL VIDEO/IMAGE RELEASE FORM

I am the parent/guardian of the Member of the Sounds of Success Community Marching Band named below.
I permit my child to participate in video recordings, photographs, or television Interviews on behalf of
Sounds of Success Marching Band.

I further permit images of my child to be used in media interviews for the same purpose.
I understand I will not be compensated for my child’s participation in any media events, or by any media
outlets or by Sounds of Success Community Marching Band.

I further understand I can rescind this authorization BEFORE an interview takes place. (Once a media
outlet films or takes pictures with my permission, the pictures and/or video become the property of the media
outlet.

I understand that some media outlets may require me to sign their own release form.

I have read and understand the above and agree to be bound by the terms of this document.