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Family Outreach

Photo/Video Release Form

Please list the names and ages of each child attending the event individually in the spaces below.


Are you the legal guardian of child(ren)?
I certify that the information given herein is true and complete and that the submission of this form is the same as my signing this form.
I hereby give permission for images and/or recording of myself and my minor child(ren) listed below, obtained via audio, video, photo, and/or digital camera, to be used soley for the purpose of Christian Heritage's promotional material and publication. I wave any rights of compensation or ownership thereto.