Student Photo Release Form

This form is to be completed by incoming, first-year students only. If you have any questions, please contact registrar@franklincummings.edu.

Fields marked with an * are required

First Name *

Middle Name

Last Name *

Email *

Confirm Email *

Photo Release Explanation

I grant to Benjamin Franklin Institute of Technology, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize Benjamin Franklin Institute of Technology its assigns and transferees to copyright, use, and publish the same in print and/or electronically.

I agree that Benjamin Franklin Institute of Technology may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.

Student Signature Checkbox *

Parent/Guardian Name (if student is under age 18)

Parent/Guardian Signature Checkbox

Pages

New Student Portal +

Student Photo Release Form

Student Photo Release Form