Onsite T/TA Participant Authorization Form for Capture and Use of Photo and/or Video Content

Onsite T/TA Participant Authorization Form for Capture and Use of Photo and/or Video Content

We appreciate the opportunity to use images and/or video footage from this T/TA event as part of our ongoing education and outreach efforts to make others aware of our services. We are committed to presenting this information in a professional and respectful manner to support the work and missions of the AMBER Alert Training and Technical Assistance Program and the National Criminal Justice Training Center of Fox Valley Technical College.

City, State/Province
MM/DD/YYYY

By choosing "I consent..." below, 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.

I consent to any necessary minor retouching and/or reproduction of my photo and/or video content for reproduction purposes.

I waive the right to inspect or approve the finished product, including written or electronic copy.

I 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 hold harmless and release and forever discharge this organization from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

If you choose “I do not consent” below, your image/likeness/voice will not be used as noted above.

Consent or Non-Consent
Understanding
Entry of your full name in this field constitutes digital signature.