Photo Release Form
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We would like to use pictures of the people of our church on the website and printed material.  We need your permission.  Please print the following form, complete it, and send it to the church office.

FAX (630)355-1072  Postal address 25 E. Benton Ave., Naperville, IL 60540

I grant First Congregational Church of Naperville, a United Church of Christ, permission to use photographs of me in any official educational or publicity pieces. These include (but are not limited to) news releases, publications, bulletin boards, videos and website.

Subject Name:_______________________________________________

Address:___________________________________________________

City: ___________________________ State: _____________ Zip: _________

Phone:____________________________

Check One:  ______ under 18 years old         _______ 18 years old or older

Subject Signature: __________________________________ Date: _________

(Not required for those under 18 years of age.)

Parent or Guardian Signature:___________________________ Date: _________

(Required for those under 18 years of age.)

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