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Materials Release/Use Authorization Form

For use by agencies/organizations or individual contributors to authorize AATTAP's use of images, videos, and/or documents for training, publications, and/or website content. If you have questions about this form or the materials release/use authorization process, please email us at [email protected].

REGARDING IMAGE OR VIDEO FILES: I authorize the AMBER Alert Training and Technical Assistance Program (AATTAP), a U.S. Department of Justice Initiative, through the National Criminal Justice Information Center of Fox Valley Technical College, to use my name, words, image and/or voice for the purpose of providing training and technical assistance content and/or awareness materials. I understand that my name, words, image and/or voice may be used in the following media: printed publications, official AATTAP website content, and/or training materials. I further understand that my statements may be edited or adapted to fit space limitations, though the meaning of my statement will not be altered. Additionally, I consent to any necessary minor retouching/reproduction of my photo/video content for reproduction purposes. I acknowledge that I have full permission/release from any/all individuals depicted in any image/graphic I am submitting. I hereby waive any rights of compensation, control or royalties related to the content I am agreeing to share with AATTAP for the purposes expressly stated above. I understand that my authorization is effective from the date of this form submission and will remain in effect unless/until I or my authorized designee requests removal/discontinuation of use by AATTAP. *

I have read and understand.

REGARDING DOCUMENT FILES: I hereby authorize the AMBER Alert Training and Technical Assistance Program (AATTAP) to utilize the following agency and/or organization content for training and/or illustrative purposes as indicated below. I understand that it is my responsibility to ensure the appropriate agency/organizational attribution is contained within the file I am submitting for use, and that such attribution can be in the form of header, footer, or watermark. I acknowledge I am responsible for ensuring any/all personal information or otherwise sensitive information is removed from any file submitted to AATTAP for use. I understand that I may request removal/withdraw of the asset provided by contacting AATTAP at [email protected], and including my full contact information, role/title and organization/agency information, and the file name of the content to be removed. I acknowledge I and/or the agency/organization I represent owns this content and/or has full authorization for use, including sharing with AATTAP for training/illustrative purposes. I understand that my authorization is effective from the date of this form submission and will remain in effect unless/until I or my authorized designee requests removal/discontinuation of use by AATTAP. *

I have read and understand.

Your Name *

First

Your Last Name *

Last

Your Agency/Organization *

Your Agency/Organization Title or Role *

Your EMAIL - ENTER CAREFULLY - This is the email we will reply to with confirmation, follow up. *

Your Primary/Business Phone *

Your Primary/Business Address *

Your Primary/Business Address

Street Address

Your Primary/Business Address

City

State/Province

Zip/Postal

If you have ALREADY SHARED/SENT the file(s) to an AATTAP staff member or associate, please include the name of the recipient and date sent.

If you have just A SINGLE FILE to share, you may upload it here. If you have multiple files to share, please see the next entry field for instructions.

Maximum file size: 20MB

If you have MULTIPLE FILES to share, please place the resource(s) in a shared file location (such as Dropbox, Google Drive, MediaFire, MS OneDrive, etc.). Please give permission to download the files to [email protected] and [email protected]. Place the invitation link to the folder/files here.

Describe resources provided. Include associated event, date, persons depicted and their titles/roles, if small group photo (large group photos can utilize a general description of the group). *

OPTIONAL: If you have any special instructions for the use of these resources, please explain those here.

Enter full name (This constitutes your digital signature) *

Date *

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