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Photo/Video Release Form

indicates a required answer

I hereby authorize Lighthouse Christian Homeschool Academy, hereafter referred to as "LCHA", and other news outlets permission to use photographs or videos taken of my child/children as well as his/her/their name in any and all of its publications including but not limited to all LCHA’s printed and digital publications.  I understand and agree that any photograph using my child’s likeness will become property of LCHA and will not be returned.

I acknowledge that since my participation with LCHA is voluntary I will receive no financial compensation. I waive any right to royalties or other compensation arising or related to the use of the photograph. 

I hereby irrevocably authorize LCHA to edit, alter, copy, exhibit, publish or distribute photos or videos for purposed of publicizing LCHA’s programs or for any other lawful purpose.  In addition, I waive the right to inspect or approve the finish product, including written or electronic copy, wherein my likeness appears.

I hereby hold harmless and release and forever discharge LCHA and other news outlets and their employees/contractors from liability for any claims, demands, and causes of action by me or any third party in connection with their participation.  

If I choose to not authorize LCHA to publish photos or videos of my child/children or his/her/their name in any of its printed publications, videos and digital publications, some such photos may still be published in the Lighthouse Christian Homeschool Academy YEARBOOK and/or NEWSPAPER only.

1. *

Please choose 1 of the following:

 (1 required)
I DO give my authorization. I DO NOT give my authorization.
2. *

Electronic Parent/Guardian signature

3. *


4. *

Child/Children's Names