Photo Consent Form

At Cornerstone Baptist Church, Orillia we take the issue of child safety very seriously, and this includes the images of children.

There are occasions when photographs and/or videos of you and/or your child(ren) may be taken by staff or a volunteer associated with Cornerstone Baptist Church, Orillia. We ask for your consent to allow these photographs/videos and/or digital images of you and/or your child(ren) to potentially be used in materials such as printed or electronic publications, websites, social media or other electronic communications.

Please complete the form below to let us know if you provide consent or do not provide consent; please note your information will remain confidential and be used for Cornerstone's internal database only. If you have any questions or concerns, please contact Shara Aldom.

Information/Consent Form

Parent/Guardian #1 Information

Parent/Guardian Name

Relationship to Child

Parent/Guardian Email

Parent/Guardian Address, City, Postal Code

Parent/Guardian Home Phone

Parent/Guardian Cell Phone

Parent/Guardian #2 Information

Parent Guardian Name