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Download Photo Release
St. Mark's Photo Release
I/we hereby authorized St. Mark's Lutheran Church, located in Van Wert, Ohio, future referenced as St. Mark's, to publish the photographs taken of me/us and the undersigned minor children, and my/our name(s), for use in St. Mark's printed publications and website.
I/we release St. Mark's from any expectation of confidentiality for the undersigned minor children, my spouse, and myself and attest that I/we am/are the
parent(s) or legal guardian of the children listed below and that I/we have the
authority to authorize St. Mark's to use their photographs and names.
I /we acknowledge that since participation in publications and websites produced by St. mark's is voluntary, neither the minor children , my spouse, nor I will receive financial compensation.
I/we further agree that participation in any publication or on the website produced by St. Mark's confers no rights of ownership whatsoever. I/we release St. Mark's, its contractors, its volunteers and its employees from liability for any claims by me/us or any third party in connection with my/our participation or the participation of the undersigned minor children.
(Complete only the Sections that apply)
First name
*
Last name
*
Email
Address
*
City
*
State
*
Zip code
*
Phone Number
*
Names and Ages of Minor Children:
1. Child's Name
1. Age
2. Child's Name
2. Age
3. Child's Name
3. Age
4. Child's Name
4. Age
I decline to have my photo published
My photo only
My child/children's photo(s)
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