Photo Release

Youth Ministry PHOTO/VISUAL CONSENT Form

PERMISSIONS TO PUBLISH PHOTO/VISUAL CONSENT FORM

I. General Information
Parent's/Guardian's Name*
First Initial Only Last
Minor child's Name*
First Initial Only Last
II. Permission to Publish where deemed appropriate
Regarding publication of my son’s/daughter’s photo/video images, grants or denies permission to Sr. Debra Marie of Blessed Sacrament and Saint Elizabeth Ann Seton Parishes:
Permission to Publish where deemed appropriate
- Permission Granted
- Permission Declined
Granting permission for my son/daughter to be photographed or videoed at Blessed Sacrament Parish and Saint Elizabeth Ann Seton Parish which may be published in the newspaper, magazine, parish website, parish social media (Facebook, Instagram, etc.) or other publication deemed appropriate or Internet only.
Permission to Publish via these medium
- General – All
- Internet Only
As part of Youth Ministry activities, I give permission for my son/daughter to be photographed or videoed at Blessed Sacrament Parish and Saint Elizabeth Ann Seton Parish. I realize that the photo or video may be published in the newspaper, magazine, parish website, parish social media (Facebook, Instagram, etc.) or other publication deemed appropriate by the Parish for informational or educational purposes regarding the Parish’s programs or curriculum.
As part of Youth Ministry activities, I give Blessed Sacrament Parish and Saint Elizabeth Ann Seton Parish the right to use the following participant material for my son or daughter for inclusion on the internet ONLY on the Parish Website or other social media platforms under the Parish name. I affirm that I have the legal right to issue such consent.
Publication Contents Allowed
- First Name Only
- Group Photograph
- Photo of Participant Project
- Individual Participant Photo
Check all that apply
I have read the Photo/Visual Consent and do NOT give permission for my child to the above request.
III. Parental signature
Signature of Parent / Guardian*
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Comments
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Photo Release

Youth Ministry PHOTO/VISUAL CONSENT Form

I. General Information

II. Permission to Publish where deemed appropriate

III. Parental signature