ENSEMBLE COMMUNITY

In its concern to authenticate and legitimize all of its professional and educational videos & photos, Ensemble Community invites you to complete and sign, electronically, the consent form below:

Consent Form: Legitimizing the professional photos & videos of Ensemble Community

I, (put your first name & last name below):

Your email:

Your telephone:

Your professional or personal address:

certify that I have approved and provided my consent for the posting of Ensemble Community's educational photos & the broadcasting of its professional videos (including online) in which I appear. Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use. Checking the box below is equivalent to a handwritten signature. This becomes effective immediately and has no expiry date.

SIGNED