Permission and Release Form for
Audio Recording Lecture
Event: __________________________________________________________________________________
Please checkmark Yes/No for all
questions 1-2.
This form also requires
your signature on page two.
1.
I am willing to have my
presentation available on Centre’s website, iTunes University, or any
other
on-line video streaming
service managed by Centre College.
Yes
________
No ________
2.
I am willing to have my
presentation available on any Centre’s web presence,, only if access is limited
to individuals who
work/attend Centre College.
Yes
________
No ________
Centre College may audiotape the session in which you appear as a speaker to make it available to those who are unable to attend the
presentation or for archiving purposes. Before we can duplicate and disseminate the audio of the session, we require a signed release from you.
The undersigned does hereby give consent to and authorize Centre College and its licensees to make recordings and transcriptions to use,
and reuse the program and recordings in whole or in part, in any media now or hereafter known.
It is understood that no substantive editing of the content will be done. Any editing will be of a mechanical nature including but not limited to attaching leaders,
deleting pauses, and such.
It is hereby acknowledged that any opinions expressed are the sole responsibility of the undersigned and in no matter reflect policies or opinions of the Centre College.
It is understood that in the event that any materials used in this presentation contain the work of other individuals or organizations
(including any copyrighted musical compositions or excerpts thereof), it is the responsibility of the undersigned to secure any necessary permissions and/or licenses.
Small performing rights licenses must be secured for public performance of any copyrighted musical composition.
_____________________________________________________________________
Name of Presenter
____________________________________________ ____________________
Signature Date
I decline to be audiotaped because: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________