Photograph & Video Release
I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape. I understand that my image may be edited, copied, exhibited, published, or distributed and waive the right to inspect or approve the finished product wherein my likeness appears.
I also understand that this material may be used in educational settings to provide information for others in the educational field.
Photographic, audio or video recordings may be used for the following purposes:
- Conference presentations
- Educational Presentations or courses
- Informational presentations
- Educational videos
By signing this release, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting listed above.
By signing this form, I acknowledge that I have completely read and fully understand the above release and agree to it.
I hereby release all claims against any person or organization utilizing this material for educational purposes.