HomeContact UsConsent Form Share Email Print Facebook Twitter Name of Parent Name of Child Date I hereby consent and authorize the Phenix City SDA Church or its assigns, to use my name and/or the names of my family members who are minors, as listed below, as well as my likeness, photos, videos and other information (or that of family members who are minors) for the purpose of news releases, advertising, publicity, publication or distribution in any manner whatsoever. I further consent to such use in their present form and to any changes, alterations, or additions thereto. I hereby release the Phenix City SDA Church from all liability in connection with all such uses. Yes No Name for Signature Submit
