Media Release Form

Cross of Life Lutheran Church (COL) occasionally uses photographs, videos, and audio recordings of members and events in its publications, in the local press, on its website, and in social media. Signing this release form grants COL permission to use your and/or your child's image and/or voice recording in its publications and other media outlets. Images and voices will not be identified by name. This form supersedes previous release forms.

I hereby grant permission to Cross of Life Lutheran Church to use my image and/or voice in printed publications, on its website, and in social media without further consideration, and I acknowledge that COL and local press have the right to crop or treat the photography, video, or audio recordings at their own discretion. I also acknowledge that COL may not choose to use the media at this time, but may do so at its own discretion at a later date. I also understand that once my image or voice is posted on the internet, the media can be downloaded. Therefore, I agree to indemnify and hold harmless from any claims the following:

- All members of Cross of Life Lutheran Church
- All employees of Cross of Life Lutheran Church

Cross of Life Lutheran Church reserves the right to discontinue use of photos, videos, and/or audio recordings without notice.

Note: * indicates required fields. Please do not use "autofill" when filling out this form.
NAME*

ADDRESS*

EMAIL ADDRESS*

TELEPHONE*

I hereby grant permission to Cross of Life Lutheran Church of Roswell, GA to use:

Photographs*
—Please choose an option—YesNo

Videos*
—Please choose an option—YesNo

Audio recordings*
—Please choose an option—YesNo

For my minor children as listed below, I grant permission to Cross of Life Lutheran Church of Roswell, GA to use:

Photographs
—Please choose an option—YesNo

Videos
—Please choose an option—YesNo

Audio recordings
—Please choose an option—YesNo

Names of minor children

Revised 3-28-2018

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