Permission Form For Internet Publishing of Pictures on Church Web Page Name of Child (please print) _________________________________________________________ Your child's picture is under consideration of publication on Salem United Methodist Church's Web Page, a part of the Internet. Your child's last name, home address, or telephone number will NOT appear with such picture.
(Please Print) I, __________________________________________________________ give my permission for such publishing. (the parent or guardian) Signature ____________________________________________________ Date___________________ Permission is granted to copy and use this form.
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