Image Authorization — WSBC Youth

What You Are Authorizing

By completing this form you grant Washington Street Baptist Church — WSBC Youth Group permission to photograph, film, or otherwise record your minor child and use that content in the following ways:

The official WSBC Youth website (lynnwsbcyouth.org)
Official WSBC Youth social media accounts (Instagram, Facebook, TikTok, YouTube, and similar platforms)
Church bulletins, newsletters, flyers, and printed promotional materials
Digital presentations, slideshows, and ministry event recaps
Any other official Washington Street Baptist Church communications or publications

No compensation will be provided. Content will be used solely for ministry, outreach, and community-building purposes. You may withdraw consent at any time by contacting Pastor Brandan Morris in writing.

Participant Information

Minor's Full Name

Date of Birth

Age

Parent / Guardian Information

Parent / Guardian Full Name

Relationship to Minor

Street Address

City

State

ZIP

Phone Number

Email Address

Consent & Agreement

I am the parent or legal guardian of the minor named above. I have read and understood this authorization and I grant Washington Street Baptist Church — WSBC Youth Group permission to use my child's image, likeness, name, and/or voice as described above.

Please fill in all required fields and check the consent box before submitting.