Central Gwinnett High School s2

Central Gwinnett High School Football Picture, Records, and Video Release Form

All Players I authorize Central Gwinnett High School and the Central Gwinnett Black Knight Touchdown Club to use or release the following student-athlete’s name and picture as needed on the team website, in print media, and any other purpose deemed proper by the football program.

______Student Name Date of Birth

______*Signature of Parent/Guardian/Player of 18 years of age Date

Junior & Senior Players Only I authorize the release of transcripts, test scores, contact information, pictures, and video of players to college coaches for the above mentioned student-athlete.

Transcripts, test scores, contact information and video may be released to college representatives for athletic scholarship consideration without individual signed release forms: Yes No (Please check one)

I understand that as an eligible parent/guardian or student who is 18 years of age, I have a right to review all transcripts test scores contact information, pictures, and/or video being forwarded to the receiving party prior to release. I hereby authorize the release of such material requested for future use.

______Student Name Date of Birth Address Phone

______*Signature of Parent/Guardian/Player of 18 years of age Date

*Signature Required