John Wesley A.M.E. Zion Church
Southfield MI 48076
Permission to Use Photograph
I grant to JOHN WESLEY A.M.E. ZION CHURCH, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize JOHN WESLEY A.M.E. ZION CHURCH, its assigns and transferees to copyright, use and publish the same in print and/or electronically.
I agree that JOHN WESLEY A.M.E. ZION CHURCH may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
I have read and understand the above:
Printed name ______________________________
Name (if applicable) __________________________
Signature, parent or guardian _______________________ (if under age 18)