Unitarian Church in Charleston Media Release Form

We often take photographs and videos of adults, youth, and children as they participate in congregational events such as worship, religious education programming, social events, and justice events. We use these images to promote our congregation and our faith in print, on the Web, and on social media.

By signing this form, you authorize the use of your image in these photographs and video recordings, as described below. (Note that providing us an image or recording constitutes your agreement to the Congregation General Usage section without your needing to also sign this form.)

No names nor other identifying personal information about individual children or minor youth will be published without your explicitly stated permission to do so in each individual case.

Please type your initials below all that apply:

Unitarian Universalist Usage - I hereby authorize the Unitarian Church in Charleston to grant permission to other UU groups, such as the Unitarian Universalist Association, Unitarian Universalist Service Committee, and UUA member congregations, to make use of the congregation’s media that includes me and any minors listed here.

Congregational General Usage - In consideration of the benefits I receive from my association with the Unitarian Church in Charleston, I hereby authorize the Unitarian Church in Charleston to make use of my likeness and voice (and that of any minors listed here) in photographs, videos, or audio recordings on their website, in their social media, in their online photo albums and video channels, and in print. This grant is final and on-going, without any additional restrictions or limitations.

Congregational General Usage with Restrictions - I grant the Unitarian Church in Charleston permission to do the above, with these additional terms and conditions (please share terms and conditions in addition to your initials):

Congregational Internal Usage Only - I do not authorize the Unitarian Church in Charleston to make use of my likeness (and that of any minors listed here) in photographs, videos, or audio recordings that are shared beyond the walls of the congregation.

Name

First and Last Name of any minors covered by this agreement

Please type your name here to serve as your signature (this must be signed by a parent / guardian of a participant under 18 years)

Date (MM/DD/YYYY)

This address will receive a confirmation email

Description

Please fill out this form and click submit.

Unitarian Church in Charleston Media Release Form

Description

Please Fix the Following