I hereby grant Ministry Beyond Myself permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

 I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE.  I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW.  I ACCEPT:

Sign and Date 

(If under 18, parent signature required)