Checking this box acts as an electronic signature. I give permission for photographs and or videos in which I and/or my child/children appear to be used by Granger Emmanuel United Methodist Church. This may include use in print media, electronic media and social media, including the internet. This form is in effect from the date below until Emmanuel UMC receives a request to remove above listed people.

Checking this box acts as an electronic signature. It is my intent that Granger Emmanuel United Methodist Church is, from the date of this request forward, no longer permitted to use images of the above named persons in any form. This includes use in print media, electronic media and social media, including the internet.