2025 Marching Band Extravaganza

Participant First Name

Participant Last Name

Participant Email Address

Guardian Name

Guardian Email

Participant Birthdate

Participant's School

Graduation Year

Band Director Name

Participant Primary Instrument/Auxiliary

Emergency Contact Name

Emergency Contact Phone Number

Photo Release (Must be acknowledged by participant's guardian)
I hereby authorize The University of North Alabama and those acting in pursuant to its authority
to:
(a) Record my likeness and voice on a video, audio, photographic, digital,
electronic, or any other medium.
(b) Use my name in connection with these recordings.
(c) Use, reproduce, exhibit, or distribute in any medium (e.g. print publications,
video, CD-ROM, Internet) these recordings for any purpose that the University,
and those acting pursuant to its authority, deem appropriate, including
promotional or advertising efforts.

I release the University and those acting pursuant to its authority from liability for any violation
of any personal or proprietary right I may have in connection with such use. I understand that all
such recordings, in whatever medium, shall remain the property of the University. I have read
and fully understand the terms of this release.

DISCLAIMER: By typing your name below, you are signing this release electronically.

I understand the participation fee for students is $50.00 and must be paid prior to the event.

Yes