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Media Release Authorization Form – Electronic Version

Student Name: ___________________________________________
Parent/Guardian Name (if student is under 18): ___________________________________________
Date of Submission: ______________________

Denver Academy of Musical Arts ("DAMA") may photograph, film, or record students during lessons, classes, recitals, and other DAMA activities. These materials may be used for promotional, educational, or informational purposes in the following formats:

  • Printed marketing materials (brochures, posters, flyers)

  • Internal displays (e.g., photo boards, studio TVs)

  • Digital communications (website, newsletters)

  • DAMA social media (Facebook, Instagram, YouTube)

  • Press releases or local news coverage

DAMA will not use a student’s last name in any public materials without written consent. Full names may appear in private/internal newsletters shared only with enrolled families.

Authorization & Consent (Please check one):

☐ YES, I authorize DAMA to use photographs, video, and audio recordings of my child (or myself, if student is 18+) for the purposes stated above.

☐ NO, I do not authorize the use of my child’s (or my own) image or recordings for any DAMA promotional or display purposes.

Electronic Signature (required)

By entering my name below, I confirm that I am the parent/legal guardian of the student listed above (or the student, if 18 or older). I understand and agree to the terms of this release. This electronic signature has the same legal effect as a handwritten signature.

Full Legal Name (Typed): ___________________________________________
Email Address (for verification): ___________________________________________
Today’s Date: ______________________

Optional Additional Verification (check one):
☐ I consent by submitting this form via my verified email.
☐ I will confirm this authorization via follow-up email or secure platform (DocuSign, etc.).

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