Please fill in the Media Release form below

Media Release Form

Pennsylvania Conference of Seventh-day Adventists
Adventurer & Pathfinder Ministries
2329 Mountain Rd, Hamburg, PA 19526
Phone: (610) 374-8331

I, am the parent or guardian of the child listed below, and do hereby voluntarily waive, grant, and release the right to photograph and publish pictures, audio and video of me and/or my child or children to the Pennsylvania Conference. I understand that photographs may be printed, placed on the Conference web site, or incorporated into promotional material such as brochures or videos.

I hereby waive any claim against the Pennsylvania Conference, its: Adventurer & Pathfinder Ministries and staff, for any personal or emotional damage which may arise in connection with the use of the photographs.

I understand that illegal or explicit photographs are NOT authorized under this agreement. Should such a situation arise, it is understood that it is not the result of negligence on the part of the Adventurer & Pathfinder Ministries or any of its ministries, staff, or the Pennsylvania Conference of Seventh-day Adventists. In such a case the violating individual or parties are solely liable and are subject to all local, state, and federal laws.

I understand that by signing this form, I am releasing all recorded images and audios for the express use of the Pennsylvania Conference. Neither my child nor I will receive any compensation for this now or at any time in the future. I further certify that I am the parent or guardian of the child and am over 18 years of age. And I understand that the Pennsylvania Conference Adventurer & Pathfinder Ministries and the photographer(s) will hold the copyright to all photographs.

Should I desire a copy of one or more photographs, videos or audios, I will make a request to the appropriate person in writing. I am aware that there may or will be a cost involved.

By typing your full name in the field below, you affirm that you are signing this document electronically. You acknowledge and agree that your typed name constitutes your legal signature and has the same force and effect as a handwritten signature. By signing, you confirm that you have read, understood, and agreed to the terms set forth in this document.
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Harrisburg First Seventh-day Adventist Church
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