Please fill out this form only if you wish to withhold consent, or to grant consent after previously requesting to withhold consent.

Please complete and return this form to indicate your preference regarding the use of photographs, videos, or audio recordings (“Recordings”) of you  and/or minor children, if applicable, to be used in UUFCO communications venues (both print and electronic media). We make every effort to select images that are truly reflective of our community. We understand that images must be selected with sensitivity, and we will ask for input from the ministerial staff and individuals whose images we wish to use if there is any uncertainty about using an image. I, the undersigned, give to Unitarian Universalist Fellowship of Central Oregon (UUFCO), its legal representatives, and all persons or corporations acting with the permission of UUFCO, the rights granted in this agreement. I give permission to copyright and/or use and/or record images of me in either still, video, or audio format. I agree that UUFCO may use such “Recordings” of me with or without my name and for any lawful purpose, including such purposes as publicity, illustration, advertising, and web content. Our Policy grants implied consent to UUFCO for this purpose, so this form only needs to be completed if you wish to withhold consent, or to grant consent after previously requesting to withhold consent.