STONEBRIAR COMMUNITY CHURCH

Minor Photo Release Form

For myself and for and on behalf of my child(ren) identified in this authorization (referred to as “Minor”), I hereby agree, represent and authorize as follows:

I grant Stonebriar Community Church, its successors, assigns and licensees (collectively, the “Church”) permission to use, reproduce, publish, broadcast, stream, and exhibit in any medium, the Minor’s portrait, photograph, image, voice, works of authorship, writings and statements in any form (collectively, the “Product”) which are created, captured or developed by or for the Church in connection with the Minor’s participation in Church events or activities. 

I irrevocably authorize the Church to edit, alter, copy, exhibit, publish or distribute the Product in all forms and media or technology now known or hereafter developed and in all manners for advertising, publicity, commercial, promotion, trade, or other lawful purpose. I waive the right to inspect or approve the finished Product. I waive any right to royalties or other compensation related to the use of the Product.

I hereby hold harmless and fully release the Church, its agents, volunteers, licensees, employees, and representatives from all claims, demands, and causes of action that I and/or the Minor, or our respective heirs, representatives, executors, administrators, or any other persons acting on my behalf, the Minor’s behalf, or on behalf of our respective estates, have or may have due to this authorization or the Church’s use of the Product as permitted herein.

I am the parent and/or legal guardian of the Minor and that my parental and/or legal guardian rights include the ability to sign this agreement on behalf of the Minor. I give my consent and authorization without reservation to the terms herein on behalf of the Minor.

I am 18 years of age or older and am competent to contract in my own name. I read this agreement and release before signing and I fully understand its contents.

v.10.13.2018