Photo Release Form

Please complete this form to confirm your agreement with the following statement: "I hereby give permission for images of my child, captured during Cross Culture Church Events/Camps/Activities through video, photo and digital camera, to be used for the purposes of Cross Culture Church promotional material and publications, and waive any rights of compensation or ownership.

Student Name

First Name

Last Name

Student Grade

Parent/Guardian Name

Todays Date

MM

DD

YYYY

Parent/Guardian E Signature

Photo Release Form

3995 N.Lewiston St. Aurora, Co 80011

Service Times

Sunday Prayer 9:000 am Unit 105

Sunday Church Service 10:00 a.m Unit 101