Church Live Streaming Consent Form
Please complete this form to provide your consent for appearing in live-streamed or recorded church services.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Consent Statement
*
I hereby grant permission to the church to include my image, voice, and likeness in live-streamed or recorded services, which may be broadcast or published online.
*
Yes, I consent
No, I do not consent
If you have any specific concerns or restrictions regarding your participation, please describe them below.
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Submit Consent
Submit Consent
Should be Empty: