(right click on page and choose print)
Brighton Area Schools
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
FIRST Robotics Events and their Participants
Local News Media
Student Name: _________________________________________________
Parent Guardian Signature: ____________________________________ Date: ________________________