Photo Release Form
Photo Permission for CHILDREN, YOUTH and ADULTS OF FIRST UNITED METHODIST CHURCH OF MIAMI
Adult, Parent, or Guardian First Name
Adult, Parent, or Guardian Last Name
Email
Phone Number
Child/Youth First Name
Child/Youth Last Name
I give permission for still or video pictures of myself to be used for promotional purposes. *If 18 years of age or older
Yes, I consent.
No, I do not consent.
I give permission for still or video pictures of my child/youth to be used for promotional purposes. *If under 18 years of age
Yes, I consent.
No, I do not consent.
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Signature of Child/Youth
Adult, Parent or Guardian Signature
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