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Linary Youth Group Photo Consent


The Linary Church of Christ Youth Ministry has their own Facebook page along with other social media accounts, which allows the congregation and others to stay up to date with us and our exciting events. Photos are often taken at these events that you/your teen are present at. It is possible that these photos will be posted to one of the social media pages or put into a Youtube video. If you consent to allow us to use your photo, please sign below:

Parent/Legal Guardian:

I do hereby give permission for my son/daughter to be photographed or video recorded during class and church events. I understand that these photos may be posted to the Linary Student Ministry social media accounts.

First Legal Guardian's Name

First Name*

Last Name*
First Legal Guardian's Age Acknowledgment*
First Legal Guardian's Date of Birth*
I certify that I am 18 years of age or older
First Legal Guardian's Signature*
Second Legal Guardian's Name

First Name*

Last Name*
Second Legal Guardian's Date of Birth*
Third Legal Guardian's Name

First Name*

Last Name*
Third Legal Guardian's Date of Birth*
Fourth Legal Guardian's Name

First Name*

Last Name*
Fourth Legal Guardian's Date of Birth*
Fifth Legal Guardian's Name

First Name*

Last Name*
Fifth Legal Guardian's Date of Birth*
Sixth Legal Guardian's Name

First Name*

Last Name*
Sixth Legal Guardian's Date of Birth*
Seventh Legal Guardian's Name

First Name*

Last Name*
Seventh Legal Guardian's Date of Birth*
Eighth Legal Guardian's Name

First Name*

Last Name*
Eighth Legal Guardian's Date of Birth*
Ninth Legal Guardian's Name

First Name*

Last Name*
Ninth Legal Guardian's Date of Birth*
Tenth Legal Guardian's Name

First Name*

Last Name*
Tenth Legal Guardian's Date of Birth*
Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Guardian's Name

First Name*

Last Name*
Guardian's Age Acknowledgment*
Guardian's Date of Birth*
I certify that I am 18 years of age or older
Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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