CLCP - Image & Information Release Form - Christ Lutheran Church Ferndale

Your Name*

First Last

Child's Name*

First Last

Your Email address*

This will be used to contact you if we have questions about your form, and to send you a copy of the information you have provided.

1. Closed Facebook Group

In order to better communicate with families the day-to-day activities of CLCP the school has created a private Facebook group “CLC Preschool 2018-19 Families.” This page is only viewable by families with students currently enrolled in the school. If you wish to be a part of the group, please provide the email address associated with your personal Facebook account and you will be invited to join.

Email associated with Facebook account*

2. CLCP Publications

I hereby authorize and consent to the use of his/her visual image by Christ Lutheran Church and/or Christ Lutheran Church Preschool for appropriate purposes, including but not limited to: still photography, video, electronic and print publications and websites. I hereby irrevocably authorize the organization to edit, alter, copy, exhibit, publish or distribute these images for the purposes of publicizing the organization’s programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy. Additionally, I waive any right to royalties or other compensation arising or related to the use of image/s.

CLCP Publication Consent or Decline*

Yes, I authorize and consent
No, I decline to have my child's visual image used as stated above

3. Student Directory

A Student Directory will be made available to all families, it will include student’s name, parent’s name/s, contact e-mail & cell phone. This information is to be used to promote communication & fellowship between families. This information may not be used to solicit or shared with anyone who is not currently enrolled in the school. Choose one option below:

Student Directory Consent or Decline*

Yes, I Consent to have my families contact information available as listed above.
Yes, I consent to have my families contact information available as listed above with the exception of _____ email _____ cell phone.
No, I decline to have my families contact information available as listed above.

Directory Exceptions

Email
Phone Number

Please do not show my (check either or both):

Your Signature*

CLCP – Image & Information Release Form

1. Closed Facebook Group

2. CLCP Publications

3. Student Directory