St. Louise would like to thank you for your service to our Country by sharing your name and photo in the vestibule on our monitor.

Please attach a high resolution photo of yourself in uniform and accept our usage waiver below.

Your Name as you would like it to appear. (required)

Your Email (required)

Select Your Branch of Service (required)
—Please choose an option—Air ForceAir Force ReserveAir National GuardArmyArmy ReserveArmy National GuardCoast GuardCoast Guard ReserveMarine CorpsMarine Corps ReserveNavyNavy Reserve

What is your relationship to St. Louise? (required)

Attach Picture (required)


I understand and agree that my image, name will be used by for non‐commercial purposes, including, but not limited to, publicity, exhibits, electronic media broadcasts. I understand and agree that the Personal Information may be copied, edited and distributed by in publications, websites, Social Media, Public display in print or digital format or any other form now known or later developed.
St. Louise de Marillac may use the Personal Information at its sole discretion, with or without my name.
St Louise de Marillac will not use the Personal Information for improper purposes or in a manner inconsistent with the teachings of the Roman Catholic Church.
I waive any right to inspect or approve any Materials that may be created using the Personal Information now and in the future.
While will take care to maintain the particular intents and purposes of the photographs or electronic recordings, editing may be necessary to obtain the best results. I release and discharge, the Archdiocese and its employees and agents from any liability that may arise out of the making or editing of the photographs or electronic recordings, including but not limited to, distortion, blurring, alteration, optical or auditory illusion or use in composite form. I hereby agree that I will not receive monetary compensation, royalties or credit for use of the photographs or electronic recordings by St. Louise de Marillac.