Media Permission

Media Release Form
We stream our services online and also love to capture moments to celebrate with our church community and promote future events. We would only do this with your permission. I grant Lighthouse Inner City, its assigns and transferees permission to capture video, audio and stills of me. I authorise Lighthouse Inner City, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Lighthouse Inner City, its assigns and transferees, may use such media of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content. I confirm that I will not seek remuneration now or in the future in regard to any media as described above.
Details
First Name*
Last Name*
Contact Number*
Parent/Guardian Details
If under 18 years old
Parent First Name
Parent Last Name
Contact Number
I give Lighthouse Inner City permission*
- Yes
- No
Just to ensure you're a legit person....🙂

Media Release Form