Beth Am Streaming Media: Permission Form
Please check the paragraph(s) as applicable:
My Name
Your answer
Date
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YYYY
Phone Number
Your answer
I hereby grant Congregation Beth Am permission to capture digital video footage and images of me (I am over the age of 18). This digital footage/imagery may be used in Beth Am printed and electronic publications (audio, visual, video, film) and for educational or publicity purposes (including but not limited to news releases, newsletters, brochures, reports, video, online posting to the Beth Am website and social media channels) by Congregation Beth Am, forever, and I waive all claims for any compensation for such use and/or for damages. I acknowledge that I may be identified by name in the footage.
Required
My Child's Name (if applicable)
Your answer
I hereby grant Congregation Beth Am permission to capture digital video footage and images of my child (minor under the age of 18). This digital footage/imagery may be used in Beth Am printed and digital publications (audio, visual, video, film) and for educational or publicity purposes (including but not limited to news releases, newsletters, brochures, reports, video, online posting to the Beth Am website and social media channels) by Congregation Beth Am, forever, and I waive all claims for any compensation for such use and/or for damages. I acknowledge that my child may be identified by name in the footage.
SIGNATURE: Typing your name into this signature box, will be recognized as your signature by hand and will serve as your understanding and acceptance of this liability release.
Your answer
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