Media Release:
I, the individual or parent(s)/guardian(s) of the child named above give permission to use, publish, or disclose newsletters, brochures, periodicals, posters, websites, or other media related vehicles, any photographs, videos, audios, and any other material in which I or my child / youth may have appeared, spoken, written, or otherwise been represented. I understand that a copy of this release will be kept on file to indemnify Bethlehem Lutheran Church in Fairport, NY against any of the church's use of the materials indicated.