Diocese of Jefferson City Authorization to Use Photographs I/We, the undersigned, authorize the Diocese of Jefferson City ("Diocese") and/or St. George School ("School") to use photographs of ("individual") in connection with publications and/or Catholic school advertisements and/or Catholic school public relations printed materials, provided that the Diocese or School is not authorized to sell or otherwise distribute such photographic images to any other person or entity without my/our consent. St. George Students ("Individuals")(Required)Student NameStudent Grade Add RemovePlease add a row for each individual student.Authorization to Use Photographs(Required) I , the parent and /or legal guardian of the individual/s listed above, do agree to the authorization to use photographs and to the above conditions. You indicate your acceptance of the terms by typing your first and last name on the line below. This is the legal electronic equivalent of your signature.Parent Name(Required)Date(Required) MM slash DD slash YYYY Parent NameDate MM slash DD slash YYYY
