Parental Consent and Release of Liability Waiver
The BrightRise Foundation Tutoring Services:
Student Information: Student Name: ___________________________
Grade Level: ___________
Parent/Guardian Information:
Parent/Guardian Name: ___________________________
Phone Number: ___________________________
Email Address: ___________________________
Consent to Participate and Verifiable Consent I am the parent or legal guardian of the
student named above. I hereby give my verifiable consent for my child to participate in the
educational and tutoring programs provided by The BrightRise Foundation. I consent to the
collection of my child's information as outlined in the BrightRise Foundation Privacy Policy.Online / Video Tutoring Consent I acknowledge that tutoring sessions may take place
online via third-party video conferencing platforms (e.g., Zoom, Google Meet). I give my
permission for my child to utilize these platforms for educational purposes and I understand that
for quality assurance and safety, online sessions may be monitored or recorded by BrightRise
Foundation staff.Assumption of Risk I understand that participation in tutoring involves interactions over the
internet or in person, and I assume full responsibility for any risks associated with my child's
participation.Waiver and Release of Liability To the maximum extent permitted by California law, I
voluntarily release, waive, discharge, and agree to hold harmless The BrightRise Foundation,
founders, board of directors, and volunteer tutors from any and all liability, claims, demands, or
causes of action for any loss, damage, or injury that may be sustained by my child or myself
during participation in these services.Medical Release (For In-Person Tutoring) In the event of a medical emergency during an
in-person tutoring session, I authorize The BrightRise Foundation and its representatives to
seek emergency medical care for my child if I cannot be immediately reached.Media and Photo Release (Optional) (Please check one) [ ] I grant BrightRise Foundation
permission to use photos, videos, or audio recordings of my child taken during tutoring sessions
for non-profit marketing, grant reports, or promotional materials without compensation. [ ] I DO
NOT grant permission for my child's image or voice to be recorded or used in marketing or
promotional materials.
By signing below, I acknowledge that I have read, understood, and agree to this Parental
Consent and Release of Liability, as well as the BrightRise Foundation Privacy Policy and Terms
and Conditions.
Parent/Guardian Signature: _________________________ Date: ____________________
