Photo Release - The Suzuki Institute of Seattle

Please use this form to consent or opt-out of the photo release policy, as detailed below.

Student Name(s)*

Please enter full names of all Suzuki Institute students.
Parent or Guardian Signature*
First Last
Please enter your name here to represent your signature. The text of your selection below will be saved to our system, along with the date and time submitted.
Photo Release Policy
I consent to the following:
I represent that I am the parent or guardian of the “Student(s)” listed above. I give The Suzuki Institute of Seattle (“SIS”) permission to photograph, film, and otherwise record the voice or likeness of the Student(s) in connection with their participation in SIS programs or events (“Media”). I also give SIS permission to edit, alter, and publish the Media in any format and at any time for purposes of promoting SIS. I understand and agree that the Media may be modified, altered, cropped and combined with other content such as images, video, audio, text and graphics. I waive any rights to compensation for use of the Media. I expressly release SIS from any actions, liabilities, losses, demands or claims arising out of any use of the Media.
Opt-Out
I do not consent.
I do not consent to the the reproduction and publication of my child(ren)'s photograph(s).