Consent for Use of Photographs on Web Site


I hereby authorize and give full consent to Rolling Hills Baptist Church to use on their Website all photographs in which I or my child/children appear(s) while involved in the ministries of the church.  Rolling Hills Baptist Church may transfer, use or cause to be used, these photographs on its Website.

I,________________________, the parent and/or guardian of:                

                             (Please list all children under your care.)  

                            ___________________________________

                            ___________________________________

                            ___________________________________

                            ___________________________________

                            ___________________________________

PLEASE CHECK ONE:

           Hereby approve the foregoing and consent to the use of photographs subject to the
           terms mentioned above. I affirm that I have the legal right to issue such consent.


           Hereby do not authorize or grant consent for the use of such photographs.




Signature: ________________________________ Date: _______________
               Parent / Guardian
PLEASE RETURN VIA:
Mail:   Rolling Hills Baptist Church
           Attn: Chris Young
           1386 McNeil-Steephollow Rd.
           Carriere, MS 39426
-OR-

Hand Carry to
Chris or Nadia Young
at Church on
Wednesday / Sunday's
-OR-

Scan and Email To
Nadia's Email
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