Arts Integration Solutions
Child Video and Photography Release Form

 Arts Integration Solutions (AiS) is a non-profit 501(c) charitable education organization that provides professional development training in arts integration to teachers at your school.  The teachers in turn, use arts integration in their lessons on an everyday basis.  From time to time, AiS photographs, videotapes, films, records audio and engages in other documentation of the actual classroom practice of arts integration with teacher and students. AiS also photographs, videotapes, films, audio records and engages in other documentation of events such as Arts Integration Intensives, in-services, tailored events and train the trainer facilitator sessions. 

I give the Opening Minds through the Arts Foundation and AiS permission to publish in print, electronic, Internet or video format the likeness or image of my child. I release all claims against Opening Minds through the Arts Foundation and Arts Integration Solutions with respect to copyright ownership and publication including any claim for compensation related to use of the materials.

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MINOR’S NAME

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YOUR NAME  (Parent or Guardian , Please print)

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YOUR SIGNATURE

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DATE

 

Please print this page and retain for your own records.