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RELEASE AND CONSENT FORM

St. John’s Episcopal Church (Milwaukie, OR) would like to use photographs on our web page, social media, and in publications for publicity purposes.

The purpose of this form is to provide people who agree to be photographed and filmed the opportunity to provide informed, voluntary consent to the disclosure of their photograph.

RELEASE AND CONSENT FORM

Use of Photograph

I understand that my photograph may appear on the St.  John’s web site, social media, and publications.

I grant permission to St. John’s to disclose my photograph on our website, social media, and publications for publicity and promotional purposes.

I agree to waive any right to inspect or approve the photographs, publications, or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photographs.

I agree to release St.  John’s from and against any claims, damages or liability arising from or related to the use of the photographs, including but not limited to any reuse, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in production of the finished product.

I am 18 years of age and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

Name *
Name
Consent
IF SUBJECT IS A MINOR: I authorize St. John’s to use my or my child’s photo on the web site, social media, and publications for publicity and promotional purposes, in accordance with the Release and Consent Form conditions above.

IF SUBJECT IS A MINOR: I authorize St. John’s to use my or my child’s photo on the web site, social media, and publications for publicity and promotional purposes, in accordance with the Release and Consent Form conditions above.