Media Release Form

RoboFest is an event that may attract media attention. It is likely that participants and attendees will be photographed and/or videotaped by the media.

As legal parent/guardian of ________________________________________________

(Child's name, if under 18)

I agree to allow my child to be photographed and/or video-taped by the media. I give permission for this material to be printed, published, posted on the official RoboFest website, and/or televised in the public forum.

________________________________________________________________________

Signature of Parent/Guardian Date Phone Number

________________________________________________________________________

Witness Signature Date Phone Number

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Child's Team Organization Name