Jacksonville Seventh-day Adventist Church

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Audio, Photo, Video Release Form
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JACKSONVILLE  SEVENTH-DAY  ADVENTIST  CHURCH

453 COLLEGE STREET

JACKSONVILLE, NC 28540

(910) 346-1288

 

 

I, _________________________________________________, the parent or guardian

                                                           (Print)

  

___________________________________________________, do hereby voluntarily

                                            (Print child’s name)

waive, grant, and release the right  to  photograph and publish pictures, audio and video of me and/or my child or children to the Jacksonville SDA Church, Pathfinder Club, Children’s Ministry, Adventist Youth ministries, Vacation Bible School or any church activities. I understand that photographs may be printed, placed on the Church’s web site, or incorporated into promotional material such as brochures or videos.

 

I hereby waive any claim against the Jacksonville Seventh-day Adventist Church, its’: Pathfinder Club, Vacation Bible School, any church ministries and staff, or the Carolina Conference of Seventh-day Adventist for any personal or emotional damage which may arise in connection with the use of the photographs.

 

I understand that illegal or explicit photographs are NOT authorized under this agreement. Should such a situation arise, it is understood that it is not the result of  negligence on the part of the Jacksonville SDA Church, Pathfinder Club, Vacation Bible School or any of its ministries, staff, or the Carolina Conference of Seventh-day Adventist. In such a case the violating individual or parties are solely liable and are subject to all local, state, and federal laws.

 

I understand that by signing this form, I am releasing all recorded images and audio’s for the express use of the Jacksonville Seventh-day Adventist Church, its’ clubs, schools and ministries. Neither my child nor I will receive any compensation for this now or at any time in the future. I further certify that I am the parent or guardian of the child and am over 18 years of age. And I understand that the Jacksonville Seventh-day Adventist Church and the photographer(s) will hold the copyright to all photographs.

 

Should I desire a copy of one or more photographs, videos or audio’s, I will make a request to the appropriate person verbally or in writing. I am aware that there may or will be a cost involved.

 

PRINT NAME: ________________________________________________________

 

 SIGNED: _____________________________________________________________

                                                                    Signature & Date

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