Photo Release Form for Minors under 18
I am the parent/guardian of:
Herein after referred to as "My Child"
Acknowledgement
I hereby grant Living Hope Community Fellowship (LHCF), its employees, agents, representatives, transferees, successors and assign the absolute right and permission to use photographic portraits, pictures, digital images or videotapes 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 LHCF publication or on the LHCF websites, without payment or any other consideration. I understand that the images may be used in print publications, online publications, presentations, websites, and social media publicly to promote the Church. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use. I, for myself,my heirs, administrators, executors, successors and assigns hereby waive any right that may have to inspect and/or approve the finished product or the copy that maybe 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 the LHCF 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 videotapes, 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 videotapes, 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, for myself, my heirs, administrators, executors, successors and assigns, do hereby waive and renounce every kind and type of claim or action for violation of privacy, violation of rights to privacy, defamation, copyright or trade mark infringement. Nothing contained herein shall be construed as obligating the Church to use any of the material described herein at any time or in anyway. I represent that I am at least eighteen (18)years of age and am fully competent to sign this Release. THIS IS A RELEASE OF LEGAL RIGHTS. READ IT CAREFULLY AND BE CERTAIN YOU UNDERSTAND IT BEFORE SIGNING(Both parents, if possible) PLEASE CHECK ONE OF THE BOXES BELOW THEN SIGN YOUR NAME(S)
CONSENT: We/I hereby certify that We/I are/am the parent(s) or guardian(s) of the above named child and do hereby give our/my consent without reservation to the foregoing on behalf of My Child.
Agree
CONSENT: We/I herby certify that We/I are/am the parent(s)or guardian(s) of the above named child and do hereby give our/my consent without reservation that special performances and event taping done by other parents can and may include my child.
Agree
NON-CONSENT: We/I hereby certify that We/I are/am the parent(s) or guardian(s) of the abovenamed child and DO NOT hereby give our/my consent without reservation to the foregoing on behalf of My Child.
Agree
Parent/Guardian's Name
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First Name
Last Name
Child's Name
*
First Name
Last Name
Phone Number
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Area Code
Phone Number
Date
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Month
-
Day
Year
Date
Submit
Should be Empty: