Please complete the form below for our records.

Name *
Phone *
Address *
I hereby grant all rights to Bridge Point Community Church (“Church”) to use my photograph, video, and/or other reproduction of me or my physical likeness for publication purposes, whether electronic, print, video, digital or electronic publishing via the Internet (website and/or social media). I further agree that any uses described may be made without additional consideration or compensation. I understand that the Church may use my name or other identifying information in descriptive text or credits. I acknowledge Church’s right to crop or treat my photograph(s) at its discretion. I also acknowledge that Church may choose not to use my photo at this time, but may do so at its own discretion at a later date. I waive any right that I may have to inspect or approve the copy and/or finished product or products that may be used. I understand that in signing this release, I agree to all these terms and that my photo will not be used without this release. Checking the box marked "Yes" below serves as my electronic signature and I understand it will be kept on record for one year from date of completion. *
For anyone under 18 years of age: I certify that I am a custodial parent and have the aforementioned rights to assign (please list their name and date of birth in the section above).