Consent and Photo Release PDF

(Preview of the above PDF)

Consent and Photo Release

Wimberley Presbyterian Church

 

Group and /or name(s) __________________________________

Date _______________________________

Individual Name (if necessary) ____________________________

 

The Wimberley Presbyterian Church, a non-profit organization, operates and maintains the property and programs at the Wimberley Presbyterian Church, Wimberley, TX.

I hereby grant the WPC permission to take photographs of our group and all our participants and consent to authorize the use and reproduction of such photographs for all legitimate purposes, such as advertising, display, exhibition and art purposes. I also consent to the use of our name in connection with such photographs.

I further consent to the use of my photograph by any nominee or designee of the WPC including any publisher or agency, and such picture(s) may be used for all of the aforesaid purposes without any limitation or reservation.

 

____________________________________  __________________________

Signature                                                                Title

 

Name (printed) __________________________________________

Date __________________________________

 

-OR-

 

Signature (Parent or Guardian – if above is a minor)                              Date