Photo Release Permission Form
I hereby consent First Evangelical Lutheran Church of Beaver Dam, WI, the right to use any photographs and/or video-recordings taken of me and/or my family on the church premises (worship, Sunday School, etc.) and/or any Youth & Family Events for publicity, promotional and/or educational purposes (including publications, presentation or broadcast via newspaper, internet or other media sources). I do this with full knowledge and consent and waive all claims for compensation for use, or for damages. Please check one box that applies to you and your family:
I consent to be photographed and video-recorded in all the ways listed above.
I consent to only be photographed or video-recorded for use within the church ONLY.
I do not consent to be photographed or video-recorded.
Please list the names of all immediate family members to be included under this agreement (i.e. spouse and/or children):
I understand by typing my first and last name below constitutes my signature confirming my agreement with the terms set in the above document.
Send me a copy of my responses.
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