Catalyst Photo Release Form

Video / Photo Release Form

I hereby grant Gateway City Church permission to include my child in photographs, videos, or other digital media in any and all of its publications, including web-based publications, without payment or other consideration.

I understand and agree that all photos will become the property of Gateway City Church, and will not be returned.

I hereby irrevocably authorize Gateway City Church to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

I hereby hold harmless, release, and forever discharge Gateway City Church from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I HAVE READ AND UNDERSTAND THE ABOVE PHIOTO RELEASE. I AFFIRM THAT I AM THE PARENT OR LEGAL GUARDIAN OF THE CHILD LISTED BELOW.

* Indicates required field

Name of Parent of Guardian *

First

Last

Parent's Phone Number *

Name of Minor Child *

First

Last

Minor's Phone Number *

Electronic Signature of Parent or Guardian *

Today's Date *

Optional Comments *

Submit