Joyful Noise & PCMP Parent Consent Questionnaire
Please fill out this form as soon as possible to make a class list for each classroom to share with the parents.

MEDIA CONSENT FORM AND RELEASE FOR MINOR CHILDREN I am the parent/guardian of
(type full name of child) ("My Child"). I hereby grant The Presbyterian Church of Morris Plains ("PCMP") the absolute right and permission to use photographic portraits, pictures, digital images or videotapes of My Child,
or in which My Child may be included in whole or part, or reproductions thereof in color or otherwise for any
lawful purpose whatsoever, including but not limited to use in PMCP publication or on the PCMP
website, without payment or any other consideration. I hereby waive any right that I may have to
inspect and/or approve the finished product or the copy that may be used in connection therewith,
wherein My Child's likeness appears, or the use to which it may be applied. I hereby release,
discharge, and agree to indemnify and hold harmless JNNS & PCMP and their its from all claims, demands, and causes of action that I or My Child have or may have by reason of this authorization or use of My
Child's photographic portraits, pictures, or digital images, including any liability by virtue of
any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or
otherwise, that may occur or be produced in the taking of said images or videotapes, or in processing
tending towards the completion of the finished product, including publication on the internet, in
brochures, or any other advertisements or promotional materials. I represent that I am at least
eighteen (18) years of age and am fully competent to sign this Release. THIS IS A RELEASE OF LEGAL
RIGHTS. READ IT CAREFULLY AND BE CERTAIN YOU UNDERSTAND IT BEFORE COMPLETING (Both parents, if possible) PLEASE CHECK ONE OF THE BOXES BELOW THEN SIGN/TYPE YOUR NAME(S).
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Child’s Full Name *
Parent’s Full Name *
I grant permission to have my child's photograph taken and appear on the public pages of the Joyful Noise Website.  *
I grant permission to have my child's name appear on the public pages of the Joyful Noise Website.  *
I grant permission to have my child's photograph taken and appear on the Joyful Noise Facebook page.  *
I grant permission to have my child's name on the Joyful Noise Facebook page.  *
I grant permission to have my email address shared on my child's Joyful Noise class list.  (Both parent emails listed on Jackrabbit) *
I grant permission to have my phone number shared on my child's Joyful Noise class list.  (Both parent phone numbers listed in Jackrabbit) *
We/I hereby certify that We/I are/am the parent(s) or guardian(s) of the above named child. *
Please complete the electronic signature by typing your name.   Type both parent names.
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