EWEI International Conference 2022 Photo and Video Release Form

1

Full Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Area Code

Phone Number

4

Age GROUP

5

TOPIC (s)

6

I allow Empowering Women for Excellence Initiative (EWEI) to take record my photos and videos.

I understand that I will not receive any monetary compensation.

I authorise Empowering Women for Excellence Initiative (EWEI) to distribute and reproduce the materials for the following purposes: Portfolio showcase, advertising, marketing, branding, educational, digital promotions, internet videos, online courses, media, and other non-commercial purposes

I grant Empowering Women for Excellence Initiative (EWEI) to use my photos and videos on Youtube, Vimeo, Facebook, Twitter, Instagram, and other social media platform.

I do not permit Empowering Women for Excellence Initiative (EWEI) to use these materials that can harm my reputation or others.

I understand that the materials taken on this event will be covered with this document only.

I release Empowering Women for Excellence Initiative (EWEI) from all liability and obligations from any claim for injury, illnesses, claims, or demands.

I the undersigned, hereby agreed that I have read this agreement and bounded by it.

7

SPEAKER Signature

Clear

8

Date Signed

Date