Legal in gold frame

Permission to Publish Photo

Release Form

We/I authorize the use of any and all photographs that include me/us and my/our minor children.
 
We/I authorize the use of any and all photographs that include me/us.
 
I/we authorize the use of only the photograph described below:
  ______________________________________________________________ ______________________________________________________________ ______________________________________________________________
 
We/I understand that our daughter, son, or my own photo is under consideration for publication on the Our Lady of Good Help Church of Mapleville, RI internet site which is accessible to the world through the internet.
 
We/I further understand that the work may identify us by name when applicable, and this constitutes the express written permission has been granted. No home address or telephone number will appear with such work. All photo/information release forms will be kept on file.
 
We grant permission for INTERNET publishing as described above…
 
___________ ______________________________ _________________________
Date Signature Adult Signature
 
The permission granted above may be revoked at any time on request. All photographs will be removed as soon as possible.
 
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