Name

Job Title

Email Address

Department 

Name of Presentation

Summary of Presentation

Learning Track this Presentation Relates to

Experience Presenting on this Topic

I give the University of California, Riverside the absolute right and permission to use my photograph(s)/video/audio in its promotional materials and publicity efforts. I understand that the photographs/video/audio may be used in a publication, print ad, direct-mail piece, electronic media (e.g. video, internet, UCTV), or other form of promotion. I release the University, the photographer/videographer, their officers, employees, agents, and designees from liability for any violation of any personal or proprietary right I may have in connection with such use.