MEDIA AUTHORIZATION RELEASE FORM For the good and valuable consideration, the sufficiency of which is hereby acknowledged, I/we, the undersigned grant all Saints Parish School of Religion the right to publish, reproduce and display photographic images, video images and/or audio recordings of _______________________________(your child/ren) for use in all media, electronic or otherwise, in connection with the publications, advertisement and /or web pages of All Saints Parish, provided that we do not sell, or otherwise distribute, such photographic images, video images or audio recording to any person or entity without my/our consent. This includes social media as well. At all times the first name will be used in publications. Signed________________________________(Parent/Guardian) Date_______ I refuse for my child/ren___________________________to be photographed, videographed or audio recorded during the 2015-16 School year. Signed________________________________(Parent/Guardian) Date________ MUST BE RETURNED WITH REGISTRATION