NB Kids and Youth Media Release
I hereby give my permission for Newbridge Church staff and volunteers to photograph and video tape
my child while participating in Newbridge Church activities. I understand that these pictures and
videos may be used in a variety of media applications including print, Newbridge Church social media
accounts, and other online channels such as the Newbridge Church website. I understand that it is
the policy of Newbridge Church not to identify children by name, by using pictures that would display
names, or through social media tagging. I also understand that Newbridge Church retains sole
ownership of these media files and will not share them with other individuals or organizations, except
as is necessary for related activities – i.e. contracted promotional work such as creating print material
or website pages.
Child's Name *
Your answer
By checking yes I give my full media release to Newbridge Church. *
I give my permission with the following exceptions:
I do not give permission for my child to be video graphed or photographed.
Parent Name *
Your answer
Date *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This form was created inside of Newbridge Church. Report Abuse - Terms of Service