PARENTS’ PHOTO CONSENT AND RELEASE FORM 2007


Resurrection Parish/Ebenezer Methodist Church
Parish/Diocesan Institution Event


My child/ren:
(please print full name) _______________________________
(please print full name) _______________________________
(please print full name) _______________________________
(please print full name) _______________________________
(please print full name) _______________________________
(please print full name) _______________________________

has/have attended or received a sacrament during 2007:

Name of sacrament________________________, Date: _____________ 2007.

has/have attended:

Palm Sunday of the Lord's Passion, April 1, 2007.
Holy Thursday and/or Good Friday, April 5 and/or 6, 2007.
Good Friday Cross Walk, April 6, 2007.
Easter Vigil, April 7, 2007.
Easter Morning, April 8, 2007.
Name of Event ________________________, Date: _____________ 2007.
Name of Event ________________________, Date: _____________ 2007.
Name of Event ________________________, Date: _____________ 2007.

I would like to authorize/pre-authorize any photos from ALL of 2007 to be used.

I understand that promotional pictures (individual and group) have been / will be taken during these events. I give permission for my son’s/daughter’s picture to be used for promotional materials (newsletter, web page, calendars, power point, etc.) in highlighting the event. NAMES WILL NOT BE USED.

By my signing this, I release CYM Staff, The Office for Catholic Youth Ministry, additional chaperones, and the Diocese of Wilmington , Resurrection Parish and Ebenezer Methodist Church from any and all liabilities and waive all claims against them.

_____________________________________ Signature of Parent/Guardian of Minor

_____________________________________ Today's Date

_____________________________________ Phone Number (for verification)