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Photo Release Form
I hereby grant permission to Bethany Lutheran Church and School to use photographs and/or video of me/my child(ren) taken during youth events in publications, news releases, online and in other communications related to the mission of Bethany Lutheran Church.  

Please fill in the information requested below, Initial, and Submit to provide us a copy of your photo release form.

Thank you.
Date *
Email Address *
Phone *
Name of Child #1 *
Name of Child #2
Name of Child #3
Parent Initials *
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