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 Name
Student Grade
Please add a row for each individual student.
Authorization to Use Photographs(Required)

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.

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