Authorization Form for Use of Child/Youth Name, Likeness, and/or Photographic Image

This authorization form shall serve as parental permission for the use of name, likeness, and/or photographic image of a child/youth where such permission is required.

I grant permission to Archdiocese of Santa Fe to use my child’s/youth’s name, likeness, and/or photographic image in the production of the following: Nativity of the Blessed Virgin Mary Catechesis Program.

I understand that if, for whatever reason, at any point in time, I decide to revoke this agreement, and I so notify the office in writing, all references to my child/youth (i.e., name, likeness, and/or photographic image) will no longer be used. I understand that web page references and web page photographic images will be removed within thirty (30) days of the written notification. I understand that the Archdiocese of Santa Fe is not responsible for access to the internet information or downloads made by users using the web prior to this removal of web 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 publication already printed or published prior to my revocation of the consent provided herein.