*** MEDIA RELEASE FORM ***
REF ID#: YP-MEDIA-04302013.14
I hereby grant permission for my youth to be photographed and/or interviewed for the The Georgia, The Atlanta Journal Constitution, or other print, radio, television or electronic media. I understand photographs or quotations may be reprinted in the Georgia Bulletin or other media, including but not limited to television, radio, newspapers, and the internet, for public dissemination. I release and relieve All Saints Catholic Church and XLT Atlanta and the Archdiocese of Atlanta from any responsibility or liability for any claims arising from publication or reproduction of any photographs or interviewers in any news or other media.
I waive any and all rights to inspect or approve the finished photographs or printed matter that may be used in conjunction with any photograph, or to approve the eventual use for which it may be applied.
I also understand that the photography or interview is being done with the knowledge and approval of All Saints Catholic Church and XLT Atlanta, but that a signed release form is on file for every individual who is photographed or interviewed by the media.
The Life Teen Program on Aug 18th, 2019 - Apr. 26th, 2020, with the All Saints Youth Group.