Minor Child Photo Release Form

"*" indicates required fields

I hereby give permission and waive compensation for images of my child that are taken during Southport Presbyterian Church activities and used in:
(Check all that apply).

Do NOT use my child's image in any publications, media releases or church website.
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MM slash DD slash YYYY
Parent/Guardian's Printed Name:*
Child(ren)’s Name(s):*
Click on the + sign to add multiple children.
This field is for validation purposes and should be left unchanged.