RoSummit25 (September, 2025, Chicago)

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RoSummit25 (September, 2025, Chicago) – Feedback Form

For marketing communication purposes related to the Chicago Romanian Community Summit, taking place in September, 2025, we require your consent for your photo, name, and role.

In this regard please review the statements below, then select your preferred option.

Email *

Full Name *

Phone Number *

Use of name: *

I grant permission for my name to be used in association with my image in all materials related to the Chicago Romanian Community Summit 2025 event. This includes but is not limited to, event programs, promotional materials, and online publications.

Yes - for all purposes listed above.

Yes - only for certain purposes (leave comment below)

No - I do not agree with the use of my name in association with the event.

Title *

E.g. "Founder of XYZ Company", "CEO of ..."

One Phrase About You *

Please provide a text, a phrase, that our MC can use to properly make your introduction. Should you decide to change it later, you can do so by following the link in your confirmation email after you submit this form, however, please make sure you let our MC know on the day of the event

Language of Choice *

ENGLISH OR ROMANIAN (both work)

ENGLISH only

ROMANIAN only

English preferred, Romanian only if necessary

Romanian preferred, English only if necessary

Other:

Short bio

Please provide a short bio that will be included in the Summit printed materials and shown on the screen during your session (no more than 100 words)

Please send your high quality/favorite profile picture to contact@rosummit.us

OPTIONAL (but highly recommended). It helps if we you can provide a preferred, high quality photo. Alternatively, skip this step and we will try to find one on Linkedin or the internet.

Processing of photos / videos / recordings from the event: *

I consent to the use of photographs, video recordings, or other media capturing my likeness during the Chicago Romanian Community Summit 2025 event. These images may be used for promotional, marketing, or informational purposes related to the event, including but not limited to, websites, social media platforms, printed materials, and press releases.

Yes - for all purposes listed above

Yes - only for certain purposes (leave comment below)

No - I do not agree with the use of images / videos in which I appear.

Authorization/Disclosure *

I authorize the disclosure of my professional role, title, and affiliation in conjunction with my name and image to accurately represent my participation in the Chicago Romanian Community Summit 2025 event.

Yes - for all purposes listed above

Yes - only for certain purposes (leave comment below)

No - I do not agree with the disclosure of my name in association with the event.

Release of liability: *

I release the Chicago Romanian Community Summit 2025 Organizers, their representatives, and any affiliated entities from any claims, damages, or liabilities arising out of the use of my image, name, and role as described in this consent form. This consent is valid indefinitely and applies to all past, present, and future uses of my image, name, and role in connection with the Chicago Romanian Community Summit 2025 event. FOR ALL CONCERNS, pls email: contact@rosummit.us

Yes - for all purposes listed above.

No - I do not agree with the disclosure of my name in association with the event.

Thank you! Your questions and suggestions help us get better. Please leave us your comments or drop us a feedback line below.

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