Media Disclosure, Authorization and Consent Release
This form is a request for full consent to use your child(ren)’s likeness in promotional materials at our parish. Please be assured that your child(ren)’s likeness will be shared with discretion and care. Promotions and communications that feature our faith formation programs, along with the children they serve, can have a very positive effect on general communications about our parish. If you have any questions about the potential uses of photos and/or videos taken during our faith formation programs, please contact any of our faith formation staff members.
Email address
Parent/Guardian Name
Your answer
Parent Phone Number
Your answer
Minor's Full Name ("My Child")
Your answer
Minor's Full Name ("My Child")
Your answer
Minor's Full Name ("My Child")
Your answer
Minor's Full Name ("My Child")
Your answer
Minor's Full Name ("My Child")
Your answer
RELEASE FOR SOCIAL MEDIA OR OTHER ELECTRONIC COMMUNICATION INVOLVING MINORS: This authorization is useful mainly for the middle school & high school ministry programs and leaders at the Church of St. Edward.
RELEASE FOR USE OF VISUAL LIKENESSES AND ORIGINAL WORKS OF MINORS: This authorization is useful for all general communications at the Church of St. Edward.
RELEASE FOR USE OF NAMES (FIRST AND LAST) ATTACHED TO LIKENESSES OF MINORS: This authorization is useful mainly by the Church of St. Edward when submitting photos to publications like the Sun Current, Star Tribune and The Catholic Spirit and/or when name tags showing first and last names are worn during church events.
Electronic Signature
By checking the boxes above and adding my initials below, I accept all terms pertinent to parent/guardian, as outlined in this form.
Your answer
Acknowledgment
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