Photo Release Permission Form
Email address *
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: *
Required
Please list the names of all immediate family members to be included under this agreement (i.e. spouse and/or children): *
Your answer
Signature: *
I understand by typing my first and last name below constitutes my signature confirming my agreement with the terms set in the above document.
Your answer
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