In Memory/Honor Media Release 
Permission to post image (picture or video) on websites and other electronic social media.
Email *
Full Name (person giving permission) *
Email *
Phone number *
Person being remembered (Full Name) *
Permission Given
By completing this form, I give A Place for Us Ministries International and all of its affiliate ministries, programs, and businesses permission to post an image of my loved one named above on all social media sites including but not limited to the following (ministry affiliated websites, Facebook, Twitter, Instagram, Youtube, newsletters, and relevant emails). Their image will be displayed primarily on the Our Farm: Meet Me at the Barn Ministries Memorial/Honorarium Page at www.welcome2ourfarm.com. I understand that I can revoke this permission in writing at anytime. 

If this is an image of a minor (child under 18 years-old), then please have their parent complete this form.
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