Class Forms

PERFORMER RELEASE FORM

I grant SITKA STAGE & SCREEN - Allyson Leet, Katie Clarkson & Laurel Moffat the right to record video, record voice and take photographs of myself and/or my child and my property as deemed fit by SITKA STAGE & SCREEN for the sole purpose of the class and/or workshop stated below.

I detail below my authorization to allow SITKA STAGE & SCREEN, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I detail below my authorization to allow SITKA STAGE & SCREEN to use such video, voice recording and/or photographs of me and/or my child with or without my name and for any lawful purpose; including such purposes as publicity, illustration, advertising and web content. PLEASE CHOOSE ONE

Sitka Stage & Screen may use any and all footage taken of myself and/or my child for the purpose of advertisement and/or promotion.

Sitka Stage & Screen may only use the below outlined footage taken of myself and/or my child for the purpose of advertisement and/or promotion.

Sitka Stage & Screen may not use any footage taken of myself and/or my child for the purpose of advertisement and/or promotion.

Name

Phone

By clicking this box I agree to everything above

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