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Consent and Waiver Regarding the Use of Photographs and Video

This form must be submitted to the Webmaster for each person's image, prior to using that person's photograph. Please submit completed forms to the Webmaster.

Yes, I hereby allow photos and video of myself and my family to be published via print, video, or website which is affiliated with First Baptist Church Allen. I understand that publications may be accomplished electronically via the Internet/World Wide Web and that after publication the Church will be unable to prevent persons from gaining access to the Internet/World Wide Web, copying my photographs and video, and subsequently using, altering, or republishing it without my consent. I waive any claim for damages against the Church from the unauthorized use, alteration, or republication of my photographs and video by third parties accessing the Internet/World Wide Web or obtaining copies of the print or video material. List all Family Members (printed):

__________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________

Signature:_________________________________________ Date: ____________ (or signature of Legal Guardian if under age 18) Waiver collected by (printed): __________________________________________ Waiver collected by (signature): ________________________________________

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