Media Permission Form

Grace United Church Video/Photo Release Form for Minors

* Indicates required field

Name *

First

Last

parent/guardian *

First

Last

Email *

Permission *

Yes No

Yes, I agree that Grace United Church can use photographs and videos of myself for content created and released on the Grace United Church Website, YouTube Channel, Facebook.
No, Grace United Church cannot use photographs and videos of myself for content created and released on Grace United Church Website, YouTube Channel, or Facebook

I understand *

Yes No

I understand that Grace United Church cannot control the taking of photos by church family members for the purpose of memorabilia.
I understand that if I wish to change this permission form, I will contact the church office in writing.

Submit