Luke 4:18 Fellowship Photo Release Form

Luke 4:18 Fellowship Photo Release Form
This Agreement is executed by and between the following:
Name of Releasor
Name of Releasee (Luke 4:18 Fellowship)
The Releasor hereby grants, and voluntarily authorizes in his capacity with full understanding, to Luke 4:18 Fellowship, the use of the following photographs:
Configurable list*
Purpose of Release of Photograph(s)

Use of my child's image for video photography involving Luke 4:18 Fellowship activities.Use of my child's image in printed publications of Luke 4:18 Fellowship.Use of my child's image in electronic publications of Luke 4:18 Fellowship.Use of my child's image for online publications of Luke 4:18 Fellowship, on the website and social media accounts.
I affirm that I am the legal parent/guardian of the minor child subject in the released photograph(s), and I am signing this agreement on behalf of the minor child.
Signature of Parent/Guardian of Releasor

Clear
Name

First NameMiddle NameLast Name
Date SIgned

MonthDayYear
Date
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