SCVYO IMAGE RELEASE FORM. I authorize the Santa Clarita Valley Youth Orchestra Foundation, or anyone authorized by the SCVYO, to produce and use any and all images, video, still pictures, drawings, or the like, as well as content of written documents. These images and/or written documents are the property of the owner stated on this form, and shall remain that way.
PHOTO/DOCUMENT OWNER: SANTA CLARITA VALLEY YOUTH ORCHESTRA FOUNDATION
Student's Name *
Student's Name
Name of Parent(s) or Guardian
Name of Parent(s) or Guardian
Address
Address
Parent/Guardian Phone
Parent/Guardian Phone
The student is a child under 18 years of age
Student's Date of Birth
Student's Date of Birth
I consent to this image release as the legal parent/guardian of the above-referenced minor.
Today's Date
Today's Date