I am sharing or have shared my experiences at Grace Life Baptist Church ("GL") with GL staff and/or volunteers and grant GL irrevocable permission to record, edit, alter, copy, exhibit, publish, distribute or otherwise use my narrative, image, visual likeness, or photograph in all forms (including but not limited to publications, websites, photos, and/or video) (collectively referred to as “Works”) for teaching, marketing, and publicity at GL, or any other lawful purpose.

I agree that all right, title and interest in and to such Works, reproductions, and/or derivatives thereof shall be the exclusive property of GL to keep and use now and in the future and waive rights to royalties or compensation related to their use. I hold harmless, release, and forever discharge GL staff and/or volunteers from all claims, demands, and causes of action which I or persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

By submitting this release, I acknowledge I have read, understand, and agree to be bound by it. I am listing the names of the minors below, of which I am the legal guardian, and give my consent on their behalf.