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Webinar Presenter Release Form
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I  hereby grant permission for CCUMC and/or any person(s) or entities authorized on CCUMC’s behalf to record, tape, film, photograph, digitize, or otherwise capture and preserve in permanent form my name, likeness, biographical material, voice, and/or performance/display (hereinafter “Recording”) at the event:

I grant permission for CCUMC to make copies in any form or media of the Recording made of me and described above, including digitized copies or written transcriptions. I further grant permission for CCUMC or any person or entity authorized by it, to edit or alter the Recording (hereinafter “Altered Recording”) and to digitize, distribute, broadcast, publish, or transmit all or any portion of the Recording or the Altered Recording, in any form, via any means, in perpetuity, throughout the world. I understand that this Recording or Altered
Recording will be used only for non-profit, educational purposes in accordance with the mission of CCUMC. I hereby assign to CCUMC any and all copyright I may have in the recordings made of me hereunder.

I further give permission to CCUMC to authorize the Indiana University digital video portal to make full use of this Recording as specified in the terms in paragraph two above in order to provide non-commercial preservation and access to this Recording, in perpetuity, throughout the world.

I also release Indiana University and CCUMC and its officers, agents, faculty, and employees, including any person(s) or entities authorized by CCUMC, from any and all claims based on my performance or display in this Recording as defined in paragraph one or based on any use of my performance or display.

I certify that I am 18 years or older, and have read this release and consent form and understand all its terms.