Weekly Lesson Schedule
Suzuki Adult Student Information
LETTERS TO PARENTS
LEVINE WAIVER FOR PARENTS
PLEASE COMPLETE: Parent Photo permission
PERMISSION FORM FOR PUBLISHING STUDENT PHOTOS, NAMES AND WORK ON DR. BARTMAN'S WEB SITE.
Indicates required field
My website allows me to publish students' photos and performances so that they can be viewed electronically by other of my students and in the larger community.
I would like your permission to publish student names and/or photos on the website
FIRST NAME ONLY
will be published when it corresponds with a student photograph.
I understand that my child's piano performance, photo, or name may be published on the Bartman Music web site, which is part of the Internet. I understand that the following may be published only with this permission.
Check all that apply:
Student's first name, last initial
Student piano performance
PLEASE CHECK ONE OF THE FOLLOWING STATEMENTS
I grant permission for the publication of my child's photo, piano performance and/or name as checked above, as long as my child is studying piano with Dr. Karen Bartman of the Piano Faculty, Levine School of Music.
Yes, permission GRANTED.
I DO NOT grant permission at this time for the publication of my child's photo, student work, or last name.
No, permission DENIED
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