I hereby grant permission to the Public Leadership Institute to the rights of my image, likeness, and sound of my voice as recorded on an audio or videotape without payment or any other consideration. 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. Additionally, I waive any right to incur royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.
Photographic, audio or video recordings may be used for the following purposes:
Conferences and presentations
On-line educational courses
Social media, website and other media
I will be consulted about the use of photographs or video recording for any purpose other than those listed above.
There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.
This release applies to photographic, audio or video recordings collected as part of the 2019 State Strategy Forum only.
By submitting this form, I acknowledge that I am over the age of 18 and that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against the Public Leadership Institute and any person associated therewith who utilizes this material for educational purposes.