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
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.
Today's Date
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Signature of Child/Youth
Adult, Parent or Guardian Signature
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