(right click on page and choose print) Brighton Area Schools
Brighton Robotics
7878 Brighton Rd.
Brighton, MI 48116

Authorization for Publicity \\ This is to certify that I, (Student- own Parent/Guardian/Foster Parent), of\\ ___________________________________ (print student’s first & last name) \\ give Brighton Area Schools, Brighton Robotics Coaches / Mentors/ Students, or other business/institution, permission to take pictures, individually or in groups, of my son/daughter and to publish for the purpose of publicizing Brighton Robotics and the Brighton TechnoDogs Robotics Team. \\ \\ I also consent to the use of any printed matter in conjunction therewith.\\ \\ I hereby waive any right that I may have to inspect and/or approve the finished product or copy or printed matter that may be used in conjunction therewith.\\ \\ I have read the above authorization, release and agreement prior to its execution and am fully familiar with the content thereof.\\ \\ Authorization for Photo/Video Recording and Use \\ I give my permission to Brighton TechnoDogs Robotics Team to video record my child with the understanding that the video recording may be shown via, or to: * Board of Education * Brighton Robotics (TechnoDogs/FTC/Lego) Websites * Brighton Robotics (TechnoDogs/FTC/Lego) Facebook and other social media platforms * Sponsors * FIRST Robotics Events and their Participants * Local News Media \\ Student Name: _________________________________________________ Parent Guardian Signature: ____________________________________ Date: ________________________ Phone: _______________________________