During the workshops, we will be recording. This recording will be used to highlight the work of B2L to potential funders, community leaders, participants, and external stakeholders.

BUILD 2 LEAD will not use this recording to sell products or use your image/likeness for any illegal activities. We will also use pictures and videos to showcase our work on social media for stakeholders and affiliates. This includes:

- Marketing for our "B2L Legacy" initiatives
- Fundraising efforts to support community programs and future community stipends and incentives
- Social Media Post (Instagram or Facebook) to showcase the work we are doing to provide innovative experiences and opportunities for the communities we serve

PLEASE read below and move onto the next question:

I do hereby certify that I am over the age of 18 years old. I do hereby agree to be videotaped and photographed by Build 2 Lead. I irrevocably give permission for my picture, image, and/or voice to be used, without compensation to me, for any purpose in any photograph, video, recording and/or publication that Build 2 Lead may seek to copyright, use, reuse, broadcast, rebroadcast, publish, and/or republish.

I hereby waive the right to inspect, or approve the photograph, video, recording and/or publication in which the my image may be used.

Please answer the questions below to accept or decline the photo/video release form.

I UNDERSTAND THAT WORKSHOPS WILL BE SELECTED BASED UPON RELEVANCY, CULTURAL COMPETENCY, AND SIGNIFICANCE IN RELATION TO THE GOALS AND OUTCOMES OF THE "BUILD 2 LEAD LEGACY" WORKSHOP SERIES. BY APPLYING FOR THIS WORKSHOP, I AM ACKNOWLEDGING MY PARTICIPATION IN THE EVENT, AND WILL NOT ATTEMPT TO RECREATE, OR REDISTRIBUTE THE MATERIALS, WORKSHOP IDEAS, AND INTELLECTUAL PROPERTY OF THOSE ASSOCIATED WITH BUILD 2 LEAD, OR OTHER PRESENTERS/ORGANIZATIONS IN THE WORKSHOPS. I UNDERSTAND THAT AT THIS MOMENT THIS IS STRICTLY A VOLUNTEER OPPORTUNITY AND THAT NO PAY WILL BE GIVEN FOR PARTICIPATING IN THIS EVENT, UNLESS OTHERWISE SPECIFIED BY B2L LEADERSHIP. APPLICATIONS MUST BE SUBMITTED AT LEAST 45-DAYS BEFORE EVENT, OR THEY WILL NOT BE CONSIDERED. IF YOU HAVE BEEN ACCEPTED, A REPRESENTATIVE FROM B2L WILL EMAIL YOU WITH MORE DETAILS 30-DAYS BEFORE THE EVENT. IF YOU HAVE BEEN ACCEPTED, BUT NEED TO CANCEL YOUR WORKSHOP YOU MUST GIVE NOTIFICATION NO LATER THAN 14-DAYS BEFORE THE EVENT.

TO SIGN AND ACKNOWLEDGE YOU HAVE READ AND UNDERSTAND THE ABOVE AGREEMENT PLEASE FILL OUT THE FIELDS BELOW:

Please fill out all questions. Thank you!

We want to learn more about your workshop and professional experience. These workshops will be broken into two tracks on day 1.