ARLIS/NA Public Appearance Consent Form
Email address *
I authorize ARLIS/NA and/or those designated by ARLIS/NA to capture photographs, audio, and/or video recordings by any means and in any media (the “Recordings”) of my presentation, lecture, or program (the “Presentation”) and to use my name, photograph, and biographical information in connection with the reproduction, distribution and promotion of the Presentation and the Recordings. I agree to grant irrevocably to ARLIS/NA, its assignees, licensees, and successors the right to publish, record, broadcast, exhibit, display, reproduce, edit or otherwise use the Recordings, as well as any materials that I have provided in connection with the Presentation (the “Materials”), perpetually throughout the world, in all media now and hereafter known or devised, in whole or in part. Any copyrights on the Presentation or the Materials existing at the time of presentation shall be retained by the copyright holders. Nothing in this document shall limit the copyright holders’ right to publish, present, or use their protected content as they see fit in perpetuity. *
Event: *
Name: *
Date: *
A copy of your responses will be emailed to the address you provided.
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