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The Lodge Student Ministry All In One Form

All In One Release Form

Below is our all-in-one release form for The Lodge and all of it’s activities. Please carefully fill out the form below to stay up to date with what is happening in The Lodge this year!

Student and Parent Contact Info

Media Release Form

I grant permission to The Lodge Student Ministry and its agents and employees the irrevocable and unrestricted right to reproduce the photographs and/or video images taken of me, or members of my family, for the purpose of publication, promotion, illustration, advertising, or trade, in any manner or in any medium. I hereby release The Lodge Student Ministry and its legal representatives for all claims and liability relating to said images or video. Furthermore, I grant permission to use my statements that were given during an interview or guest lecture, with or without my name, for the purpose of advertising and publicity without restriction. I waive my right to any compensation.