Consent and Release Form for STScI Events

Consent and Release Form for STScI Events
I am an attendee for a STScI event. I understand the lectures and/or talks will be recorded for the purpose of being used and distributed in various formats by the Space Telescope Science Institute for educational purposes, including, but not limited to the classroom, television, the Internet, and any other communications medium currently existing or later created.

I give my permission and authorize the Space Telescope Science Institute, to videotape, audiotape, photograph, record me and to use it in the formats and for the purposes stated above. My permission may be withdrawn at any time upon my written notice to the Space Telescope Science Institute. Within 30 days of my request, my audio and/or video webcast will be removed from access.

I agree to indemnify and hold harmless the Association of Universities for Research in Astronomy, Inc. (AURA, Inc.) operating the Space Telescope Science Institute, their employees and representatives against any and all claims arising out of my presentation, including, but not limited to, claims of copyright infringement, defamation, and misrepresentation.

I declare I have read the above, fully understand its meaning and effect, and agree to be bound by it.
Event Name *
Presenter Type*
Name*

First NameLast Name
Email*
example@example.com
Affiliation*
Please be sure that you have reviewed the spelling of your name and affiliation above, as these will be used in event promotions and crediting you.
Do You Agree to the Consent and Release Form Statement Above?**

I AgreeI Disagree
Date of Acknowledgement*

MonthDayYear
Date
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