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.