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Family Photo and Video Release
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Family Photo and Video Release
Family Photo and Video Release
Becky Boyland
2016-12-27T21:03:37-06:00
In consideration of participating in Heartland Community Church of Rockford, Inc events, I give Heartland permission to use photographs and videos of myself or my child(ren) for the following non-profit use and without charge: display at a service or event or be used in a multimedia presentation, reprint and distribute in any Heartland Community Church non-profit publication with copyright to accompany photo or video when used, display on the Heartland Community Church website, or use at the discretion of Heartland Community Church.
This release is valid for one year from date signed.
Parent's Name
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Last
Date
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Date Format: MM slash DD slash YYYY
Initials (serves as your signature)
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Child's Name #1
Child's Name #2
Child's Name #3
Child's Name #4
Child's Name #5
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