Media Consent | First Baptist Church Andrews

MEDIA CONSENT FORM AND RELEASE FOR MINOR CHILDREN

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MY CHILD - Name (s) of children enrolled in MDO

MEDIA CONSENT FORM AND RELEASE FOR MINOR CHILDREN.

I hereby grant the Mother's Day Out program at First Baptist Church in Andrews, Texas (MDO) and their agents the absolute right and permission to use photographic portraits, pictures, digital images or videos of My Child, or in which My Child may be included in whole or part, or reproductions thereof in color or otherwise for any lawful purpose whatsoever, including but not limited to use in any church-sponsored publication, website or social media account without payment or any other consideration. I hereby waive any right that I may have to inspect and/or approve the finished product or the copy that may be used in connection therewith, wherein My Child’s likeness appears, or the use to which it may be applied. I hereby release, discharge, and agree to indemnify and hold harmless MDO and their agents from all claims, demands, and causes of action that I or My Child have or may have by reason of this authorization or use of My Child’s photographic portraits, pictures, digital images or videos, including any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking of said images or videos, or in processing tending towards the completion of the finished product, including publication on the internet, in brochures, or any other advertisements or promotional materials. I represent that I am at least eighteen (18) years of age and am fully competent to sign this Release.

I hereby certify that I am the parent or guardian of the above named child and do hereby give my consent without reservation to MDO on behalf of My Child. (If yes, check the box below) *

SIGNATURE - Typing your name below serves as your signature for this form.