Media Release - Christ King Parish

I/we hereby consent that any still or electronic image and/or audio/visual recording, in which I/we and/or my/our child(ren) may appear, may be used by Christ King Parish and School and/or by the Archdiocese of Milwaukee. I understand that these materials are being used for promotion of Christ King Parish and School and/or by the Archdiocese of Milwaukee. The images and/or recordings may be used to support recruitment, fundraising, evangelization and other communication efforts. I/we release the staff and volunteers and I/we understand and agree that the use of my/our picture is not an invasion of privacy. Neither I/we, nor anyone claiming to be speaking on my/our behalf, will later object to Christ King Parish and School and/or the Archdiocese’s use of this/these photographs or audio/visual recordings.

1. Parent/Legal Guardian Last Name: *

2. Parent or Legal Guardian First Name: *

3. Additional Parent and/or Legal Guardian Last Name

4. Additional Parent and/or Legal Guardian First Name

5. Child 1 Last Name:

6. Child 1 First Name:

7. Child 2 Last Name:

8. Child 2 First Name:

9. Child 3 Last Name:

10. Child 3 First Name:

11. Child 4 Last Name:

12. Child 4 First Name:

13. Child 5 Last Name:

14. Child 5 First Name:

15. Enter Your Email Address: *

16.