Minor Photo/Video Release Form - Church of St. Ignatius Loyola, NYC

Consent(Required)

Minor Photo/Video Release

I give the Interparish Religious Education Program of the Church of St. Ignatius Loyola, New York, permission to publish in print, electronic, or video format the words, image, and/or voice of my child ("Minor").

I release all claims against the Church of St. Ignatius Loyola, New York, with respect to copyright ownership and publication including any claim for compensation related to the use of the materials.

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 Minor’s likeness appears, or the use to which it may be applied.

By submitting this form, I represent that I am at least 18 years of age and am the parent/guardian/legal representative of the above-named Minor. I have read the foregoing agreement and am familiar with all of the terms and conditions thereof and I consent to its execution by the Minor. I agree that neither I nor the Minor will revoke or disaffirm this agreement at any time.

Minor's Name(Required)

First Last

Parent/Guardian Name(Required)

First Last

Date(Required)

St. Ignatius Loyola requires a signed release when we photograph or videotape a minor (under 18). Parent or guardian permission is required. When images are published we will take cautionary steps to provide minimum identifying information.