Photo & Video Release Form

At Friends of Jesus Community Services & Campus Ministries, we love capturing and sharing moments from our community engagement and activities. Whether we are hosting an event or participating in a community gathering, we often take photos and videos to share with our supporters and the public. This form allows you to provide or decline consent for us to use media that may feature you or your minor child. Please complete the fields below.

Your Name

First Name

Last Name

Your Email Address

Your Cell Phone Number

(###)

###

####

May Friends of Jesus send you text messages?

Message and data rates may apply. You may opt out at any time by replying STOP. View our privacy policy at fojcs.org/privacy-policy

Yes

How do you prefer to be contacted regarding any questions we may have?

Phone Call

Text Message

Name of Event/Activity where media was captured

Date of Event or Interaction

YYYY

Full Name of Participant (the person in the photo/video)

First Name

Last Name

Consent Agreement

Please select one of the two options below.

I GRANT CONSENT

I DO NOT GRANT CONSENT

SIGNATURE & CONFIRMATION

By checking YES below and typing my full name, I confirm that I have read, fully understand, and agree to be bound by the option I selected above. I certify that I am 18 years of age or older and have the full legal authority to grant this consent.

I have read and agree to the terms of this release.

yes

SIGNATURE

LEARN

CONTACT US

CONNECT

Last updated 6/29/25 — Friends of Jesus Community Services