For Big Brothers Big Sisters Community-Based Mentoring Programs: I hereby give my permission to release information regarding myself and/or my child to a volunteer Big Brother/Big Sister. This release applies to the referral source, school officials, counseling/health agencies, or Dept. of Human Services as it pertains to matching my child with a volunteer. I authorize my child’s school to release grades and attendance records to Big Brothers Big Sisters.
I give my permission for Big Brothers Big Sisters of Flint & Genesee County, Big Brothers Big Sisters of America, and their funders to utilize any photos, audio tapes, video images or other images/recordings; academic achievement, school attendance for promotional, reporting and other purposes.