Consent-to-Publish

I hereby authorize the Poor Handmaids of Jesus Christ and the PHJC Volunteer Program to publish photographs taken of me and my name and likeness, for use in any Poor Handmaids of Jesus Christ or and PHJC Volunteer Program print and online marketing materials, as well as other publications.

I hereby release the Poor Handmaids of Jesus Christ, its members, its employees, the PHJC Volunteer Program, and any third parties involved in the creation or publication of materials, from liability for any claims by me or any third party in connection with my participation.

Authorization

MM slash DD slash YYYY
Please type your name(Required)
This field is for validation purposes and should be left unchanged.