Media Release for Minors From time to time at St. James’ we like to include pictures of our activities in our newsletter or on our website. We also operate a live stream of our 10:30am service each week. For this reason we ask the parents/guardians/accompanying adults of any young people under the age of 18 to complete and submit a media waiver for each academic year. This form covers the 2021-22 school year. You can complete and submit this form online, or if you would rather, request a paper copy from Jan Scrutton, our Children and Youth Minister. Any questions? Email email@example.com * Indicates required field Guardian Name* Guardian email* Phone number* Address* Child name* Age* Relationship to minor* ParentGuardianGrandparentOther You may complete this form for additional children by completing their information below. Child 2 name Age Child 3 name Age Child 4 name Age I give St. James' Episcopal Church permission to take photographs, video, and/or record the voice of the minor(s) named in this form, so that St. James's may use these images and/or audio in print and online publications. I give this consent with the knowledge that St. James's is following the Diocese of California's latest policies regarding digital and social media. When you select the "submit" button below, it will serve as your electronic signature. This submission is automatically dated when you send. Please contact firstname.lastname@example.org if you have any questions.