Media Release
I Hereby consent to and authorize the use of and reproduction by the National Spiritual Assembly of the Baha'is of the United States and its affliliate agencies and institutions(the 'National Spiritual Assembly') of any and all photographs and any other audiovisual materials taekn of the registered individuals listed above for inclusion in any of the National Spiritual assembly's promotional printed material, websites or educational activities or for any other manner and in whatever way the ntional Spiritual Assembly may desire to serve the best interests of the Baha'i Faith. *
Signature ( by entering the last 4 digits of your home phone and you agreeing to this request) *
Date *
Print Name ( If person under 18, name of Parent / Guadian) *

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