May 3, 2014


* First Name:
* Middle Name:
* Last Name:
* Email:

(NOTE: We ask that children be at least 10 years of age)

 I hereby give my consent for Faith Family Church to use any video/photographs taken of me during the baptism in any Faith Family publications and videos including but not limited to Faith Family's website, Facebook, and promotions.
 I do not want my photograph used in any publications.