Media Consent Form Consent(Required)I hereby grant The Parish of the Advent / The Church of the Advent permission to the rights of my image, likeness, and sound of my voice as recorded in photographs and/or on audio or video recordings without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published, or distributed, and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse media settings within an unrestricted geographic area. Photographic, audio, or video recordings may be used for printed or electronic publications, including (but not limited to) newsletters, church bulletins, church website, social media, use in congregation worship or gatherings, and may be shared with other expressions of The Parish of the Advent / The Church of the Advent and/or media outlets. By signing this release, I understand this permission signifies consent that photographic or video recordings of me may be electronically displayed via the Internet or in other media. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. By signing this form, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person, organization, or affiliate of The Parish of the Advent / The Church of the Advent in utilizing this manifold media material for publicity and/or educational purposes. I agree to the terms.(Required)Full Name(Required) First Middle Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Signature(Required)Date Signed(Required) MM slash DD slash YYYY If this release is obtained from a person under the age of majority (age 18), then the signature of that person’s parent or legal guardian is also required.Parent / Legal Guardian Full Name First Middle Last Full Name of Person (s) Under the Age of Majority First Middle Last Parent / Legal Guardian SignatureDate Signed MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.
