St. John The Beloved

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Model Release Form

- Faith Formation

Saint John the Beloved and the Diocese of Charleston
MODEL RELEASE FORM
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- I HEREBY GRANT PERMISSION FOR MY CHILD/REN TO BE PHOTOGRAPHED AND/OR VIDEOTAPED DURING MINISTRY ACTIVITIES AND EVENTS. I UNDERSTAND THAT MY CHILD MAY DECLINE TO BE PHOTOGRAPHED AND/OR VIDEOTAPED AT ANY TIME. I FURTHER GRANT PERMISSION FOR THE RESULTING PHOTOGRAPHS AND OR VIDEOTAPED FOOTAGE TO BE EDITED, IF NECESSARY, AND MAY BE PUBLISHED AND.OR BROADCAST FOR THE PURPOSE OF PROMOTING MINISTRY AND/OR YOUTH PROGRAMS AT ST. JOHN THE BELOVED ROMAN CATHOLIC CHURCH.
- I GRANT PERMISSION
- DATE: Please enter valid data.
- PARENT NAME: Please enter valid data.
- PARENT ELECTRONIC SIGNATURE: Please enter valid data.
- I HEREBY DECLINE TO GRANT PERMISSION FOR MY CHILD/REN TO BE PHOTOGRAPHED AND/OR STATE THAT HE/SHE/THEY MAY NOT BE PHOTOGRAPHED AND/OR VIDEOTAPED UNDER ANY CIRCUMSTANCES.
- I HEREBY DECLINE
- DATE: Please enter valid data.
- PARENT NAME: Please enter valid data.
- PARENT ELECTRONIC SIGNATURE: Please enter valid data.
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