Media Consent Form | Calvary Baptist Church

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I am 21 years of age or older and competent to contract in my own name*

Yes
No

I hereby grant Calvary Baptist Church and their related ministries permission to use my likeness in photograph, audio or video in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become the property of Calvary Ministries and will not be returned. I hereby irrevocably authorize Calvary Ministries to edit, alter, copy, exhibit, publish or distribute this media for purposes of publicity, promotions or for any other lawful purpose. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph. I hereby hold harmless and release and forever discharge Calvary Ministries from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I am 21 years of age and am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.

In addition, I waive/retain the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears.*

Yes
No

Name*

First Last

Name of person consenting to use of likeness

Date

There must be consent by a parent or guardian as follows: I hereby certify that I am the parent or guardian and do hereby give my consent without reservation to the foregoing on behalf of this person.

Minor's Name*

First Last

Parent/Guardian's Name*

First Last

Signature*

Date*

Media Consent

Carrying Hope

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Ministries of Calvary

Media Consent

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Carrying Hope

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Ministries of Calvary