Media release form

North Jax Media
Release Form 

Consent for Use of Likeness and Words
I, the undersigned, hereby grant North Jacksonville Baptist Church (“North Jax”) permission to photograph, videotape, and/or record my likeness, image, voice, and/or statements (hereinafter collectively referred to as “Media”). I understand and agree that NJBC may use these Media for any promotional purposes, including but not limited to social media, websites, brochures, advertisements, and other promotional materials.

I further agree to the following terms:

1. Usage Rights: North Jax has the right to use, reproduce, edit, publish, and distribute the Media in any form and through any medium, now known or hereafter developed, for promotional and educational purposes without any compensation to me.

2. Release of Liability: I hereby release, discharge, and agree to hold harmless North Jax, its officers, employees, agents, and representatives from any liability arising out of or in connection with the use of the Media, including but not limited to any claims for defamation, invasion of privacy, or rights of publicity.

3. Ownership: I acknowledge that North Jax owns all rights, title, and interest in the Media, and I waive any right to inspect or approve the finished product or the use to which it may be applied.
For Participants Under 18 Years of Age:

If the participant is a minor, a parent or legal guardian must complete the following section:

I, the undersigned, am the parent or legal guardian of the minor named above. I have read and fully understand the terms of this Media Release Form, and I hereby grant permission for North Jax to photograph, videotape, and/or record my child’s likeness, image, voice, and/or statements. I agree to the terms outlined above and release North Jax from any liability as stated.

I have read and fully understand the terms of this Media Release Form and agree to be bound by its terms.

Participant Signature