Video Submit Form

Submit your video

Submit your video for the FUSE project! Remember your video should answer the question: What would your dream school experience be like? What things would be different from school now?
Student's name*

First NameLast Name
E-mail*
example@example.com
Upload Video*

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Terms and Conditions

I grant permission to intertwine to use my likeness/the likeness of my child or ward in the photographs or videos I am submitting.

I understand that these materials are intended to create a learning kit for teachers as part of the FUSE prorgam but may also be used for various purposes to promote FUSE itself, including but not limited to: advertising, marketing, promotion, and distribution.

I hereby waive any right to inspect or approve the finished product wherein my likeness/the likeness of my child or ward appears. I also waive any claims to compensation or royalties arising from the use of these materials.

I assert that I own the rights to the photographs or videos which I am submitting and I am licensing these rights to intertwine in perpetuity in all jurisdictions and across all media.
Do you agree to the terms above?*

I certify that I am over 18 years of age and have the legal authority to grant this release on my own behalf.I certify that I am over 18 years of age and have the legal authority to grant this release on behalf of my minor child or ward.I am under 18 years of age, and I understand that my parent or legal guardian will be contacted to review and consent to this release on my behalf.
Name of Parent or Guardian signing

First NameLast Name
Comments
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Submit your video