MEDIA/PHOTO RELEASE

This must be completed by an adult (Esta sección del registro debe ser completada por un adulto)

In compliance with the Child Online Privacy Protection Act, Grace Church requires parent/guardian consent before posting personal data or images of minors on our website. Please read the following statements and initial below if you are in agreement. If you have questions about this form, please ask the Grace Church representative present or call our church offices.

I grant Grace Church and its employees or agents permission to take photographs, record audio, or capture video footage of myself and/or my child for use in its various media productions. I recognize that this use includes the current and future display, distribution, transmission, or publication of captured material of myself and/or my child for newsletters, promotional videos, digital website images, and other media productions. I recognize that mine and/or my child’s name and identity may be revealed in the production of this material, and I waive any right to financial compensation or other forms of payment for mine and/or my child’s participation in this production.

Mosaic Family Day Retreat 2025 | 2.22.25 | Mosaic Family Registration

* To streamline this process, please login here. * If you do not have a Grace Church account, you can create one here.

* To streamline this process, please login here.

* If you do not have a Grace Church account, you can create one here.