Media Release/Uniform Selection/Handbook Acknowledgement Form

**Please Print this Form and turn in to Ms. Wagner

NNHS Orchestra Media Release

     There will be instances where students will be photographed or filmed to promote school activities, celebrate student success or for educational purposes including concert or small group performances.  These photos or videos may be used by: Newspapers, YouTube, Websites and Social Media Platforms (Facebook, Instagram etc.) for NNHS, NNHS Orchestra, and NPS Fine Arts.  In addition, university fine arts students often visit and work with students.  These interactions may be filmed and used for their university class purposes only. No student information, other than first and last name will ever be used.

Please check one:

____Yes, I give permission for photos/videos of my student to be used for the above purposes.

____No, I do not give permission for photos/videos of my student to be used for the above purposes.

Student’s Name (please print)_______________________________________________________

Parent/Guardian’s Name (please print)________________________________________________

Parent/Guardian’s Signature________________________________________________________

Student Cell Phone

From time to time, it may be necessary to contact your student via his/her cell phone for school and orchestra related communications.  This may occur when we are off campus for concerts/contests, trips, or All-OkMEA (All-State).

Student Cell Phone Number___________________________________________

____Yes, I give Ms. Wagner permission to contact my student by the above cell phone number for school and orchestra related communications.

Parent/Guardian’s Name (please print)_______________________________________________

Parent/Guardian’s Signature_______________________________________________________

Uniform  Request

I (student’s printed name)__________________________________­­­­­­­­­______select the following uniform option.

   Circle One:     Option 1 (Tuxedo)            Option 2 (Dress)                 Option 3

                 I (parent) approve the choice of uniform _______________ (parent initial)

                                                             Handbook Acknowledgment

    We have read the NNHS Orchestra Handbook and understand all of the guidelines and information.

Student’s Name (please print)_________________________________________________________

Student’s Signature_________________________________________________________________

Parent/Guardian’s Name (please print)__________________________________________________

Parent/Guardian’s Signature__________________________________________________________