The Diocese of Superior and its affiliated parishes and schools may wish to use an image and/or recording of your child in print and electronic publicity and virtual education. It is the practice of the Diocese of Superior to protect all children at all times including the public use of their image and/or recording. This document has been developed to inform parents and guardians of their right to grant or refuse permission for their child's image and/or likeness to be used in Diocesan and affiliated parish and school media, promotional materials, and virtual education. Permission to use any video recording, photograph, slide, audio recording, or any other visual or audio reproduction in which your child may appear may include promotional and educational activities such as, but not limited to, websites, social media sites, newsprint, flyers or brochures, virtual classroom. We reserve the right to determine which image and/or recording is used and how long it will remain on the site or is used in media materials. The Diocesan Department, Parish or School Initiating this form is: Immaculate Conception Church. I understand that both print and electronic media have a large audience and that my child(ren)’s photographic image and/or recording may have wide distribution. The contact person is: Kristin Dittman. Phone 715-246-4652 ext 260. Email: k.dittman@ic-church.com. Fax: 715-246-2526. Please carefully read the statements above. Indicate your permission or refusal of permission by selecting the appropriate statement above and typing your name below.