Online Meeting and Media Consent

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Parents are asked to fill out and submit this form for their children who are participating in religious education or youth ministry at St. James Church. You may include all of the children in your household on this form, separated by commas.

Name(s) of Child/Children *

Name of parent filling out form *

Email address of parent filling out form *

Phone number of parent filling out form *

MEDIA RELEASE: I give permission to St. James Church to photograph and/or video record my child and to use his or her image/video for the purpose of promoting the mission, activities, and programs of St. James Church. I understand that I and my child are not entitled to any compensation or rights in these materials, and I release St. James Church or any of their agents from any liability for the use of my child’s image for the above stated purposes. *

Yes, I agree.

No, I do not agree.

PLEASE READ THE FOLLOWING STATEMENTS REGARDING THE USE OF ONLINE PLATFORMS FOR RELIGIOUS EDUCATION AND YOUTH MINISTRY, THEN CHOOSE YOUR RESPONSE BELOW BEFORE SUBMITTING THIS FORM.

PLEASE PICK ONE RESPONSE AND SUBMIT. *

Yes, I give my child/children permission to participate in online meetings.

No, I do not give my child/children permission to participate in online meetings.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms