Burke Lutheran Website
Photo Privacy Policy/Exclusion Form

To help people see how our faith comes to life at Burke Lutheran, we include photos from events and activities. We will not include any names with the pictures.
However, we respect our members' possible concern regarding publication of images on the internet.
Therefore, if you have do not want an individual/s' image on the Burke Lutheran website, please complete the form below. Please deliver it to the church office or the website folder. Please include a photo to be kept on file for the website team's reference.
Thank you.

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Burke Lutheran Website
Request for Photo Exclusion

Please include a recent photo!!

Name of Individual/s:_______________________________________________ Date:____________________

Name of Authorized Signature:________________________________
Signature:__________________________

Relationship to Individual/s____________________________________