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: *
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
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service