I hereby grant, voluntarily and with full understanding, to Country Christian Church a license to the following:

Use and storage of my name and image, by means of digital or film photography, video photography, audio recording or other documentation, with respect to the activities of Country Christian Church.

Use of any stored data including my name and image in printed publications of Country Christian Church.

Use of any stored data including my name and image in electronic publications of Country Christian Church.

Use of any stored data including my name and image in any website created by or for Country Christian Church for its sole benefit.

If I am signing this agreement on behalf of a minor child, I hereby warrant that I am the legal parent or guardian of the child and that I have the legal authority to sign this agreement on behalf of the child.

If a dispute over this agreement or any claim for damages arises, I agree to resolve the matter through a mutually acceptable alternative dispute resolution process. If I cannot agree with Country Christian Church upon such a process, the dispute will be submitted to a three-member arbitration panel of the American Arbitration Association for final resolution.