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When paying by credit card processing fees will apply.

Send checks to:   CCIW, 401 W Jefferson St., Bloomington, IL 61701-3826




WORKSHOP PARTICIPANTS


PHOTO RELEASE FORM                                                                                                                                                                                                        I (Releasor) consent and authorize the Christian Church (Disciples of Christ) in IL/WI to use my likeness in any photograph, video, or digital media taken at events/workshops/activities sponsored by the Chrisitan Church (Disciples of Christ) in IL/WI January 1, 2025 through December 31, 2025 in any and all of its pbulications, including print or web-based publications.  

I irrevocably authorize CCIW to copy, edit, enhance, crop, or otherwise alter any Photo for use in their publications. I also waive any rights of approval or inspection of photos prior to publication.

I understand all photos are the property of CCIW and acknowledge that I am not entitled to any compensation or royalties with respect to the use of the photos.

By checking the "Yes"  I am acknowledging that I have read the Photo Release form and agree to the terms of the release. The checked box represents my digital signature and authorization.





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