Media Opt-Out

Church activities and events are sometimes photographed/videoed for purposes of publicity and promotion (newsletters, website, brochure, etc).

Complete and return this form ONLY if you do NOT give permission for yourself (Adult) or your child to appear in possible publicity images, including postings on the website.

Your Name (required)

Your Phone Number (required)

Your Email (required)

Your Child\'s Name (if filling out for a child)

Check this box to signify your wish to have your/your child\'s photos and/or videos removed or otherwise obscured from our website.

To help avoid spam and \"bots\", please fill out the blank below with the text shown in the image. This helps us assure that a real person is filling out this form.