This authorization release form shall serve as parental/legal guardian permission for the use of the first name and last name’s first initial, likeness and/or photographic image of a child/youth where such permission is required. I hereby give permission for my child’s/youth’s name, photographic image (still or video) to appear in Diocesan, Parish, School, or Organization publications and/or websites/social media sites, marketing initiatives. No consideration, monetary or otherwise, shall be paid.

     I understand that if, for whatever reason, at any point in time, I decide to revoke this agreement and I so notify the Parish, School or Organization in writing, all references to my child’s/youth’s name, likeness and/or photographic image will no longer be used. I understand that website/social media references and website/social media photographic images will be removed within thirty (30) days of written notification. I understand that the Diocese, Parish, School or Organization is not responsible for access to the information or downloads made by users using websites or social media sites prior to the removal of references (i.e., name, likeness and/or photographic image). I further understand that my child’s/youth’s name, likeness and/or photographic image may continue to be used in any publications already printed or published prior to my revocation of the consent provided herein.