Media Release Form

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Media Release Form

Youth First Name *

Youth Last Name *

I hereby consent to the participation of my child in interviews, the use of quotes, and the taking of photographs, movies or video tapes of the youth named above. I also grant the right to include names and photographs in print for the church website, newspapers, and social media. *

Yes

Required

Electronic Signature

By submitting, you are signing this release form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this release, and that you are a legal parent/guardian of the child for which this form is created.

Parent/Guardian Name *

Email Address *

Submit

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