I hereby grant permission to the Unitarian Universalist Church of Palo Alto (UUCPA) to use photographs and/or video of me on the date specified below, taken at the Unitarian Universalist Church of Palo Alto located at 505 East Charleston Road, Palo Alto, CA 94306, or taken during a UUCPA sponsored online video session, or photos/video specifically attached to this form in publications, news releases, online, and in other communications related to the mission of the Unitarian Universalist Church of Palo Alto.