National Association for Music Education – NAfME – Southern Division


I hereby grant to West Virginia Music Educators Association (WVMEA) and its legal representatives and assigns, the irrevocable and unrestricted right to use, distribute, sell and publish audiotapes and videotapes, in which my child is included as a member of the West Virginia All State Concerts, made at the West Virginia Music Educators Conference All State rehearsals and concerts held March 7 - March 9, 2019 in Charleston, WV, for any purpose. I hereby release WVMEA and its legal representatives and assigns from all claims and liability relating to said audiotapes and videotapes.

 


Student’s Name (Print) ____________________________________________

Parent’s Signature___________________________________________

Address____________________________________________

City_______________________________________________

State___________ Zip______________

Date______________________________

High School __________________________________________________

Director's Name _______________________________________________

Director's Email________________________________________________________