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Media Permission Form

Your Full Name *

Email Address *

Phone Number *

I give permission for Emmanuel Miami to use my photo/video in: *

Church Website Social Media (Facebook, Instagram) Newsletter/Bulletin Promotional Materials Live Streaming Services Recorded Services All Church Media

Minor Child Name (if applicable)

I am the parent/legal guardian and give permission for my child

Duration of Permission *

I understand I can revoke this permission at any time by contacting the church office *