CREA Virtual Conference Registration / New Form (page 1/2)

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Title (optional)

First Name*

Last Name*

Email*

Pronouns (e.g., they, them, their)

Institution

I understand I am registering for the virtual conference not the in-person experience*

I am a presenter

If you need special assistance (such as captioning) for your presentation, please describe your needs.

Restrictions on your use of conference materials

Recordings of the conference, or parts thereof, may be made available to registrants on case-by-case basis by the Center for Culturally Responsive Evaluation and Assessment, College of Education, University of Illinois at Urbana-Champaign (“Subsequent Use”). Any Subsequent Use will be limited in nature and will expressly prohibit any commercial use. Use of recordings or conference materials beyond the conference without the express written consent of the presenters/authors is strictly prohibited.*

Consent to our use of recordings that include you

I do hereby consent to the use by The Board of Trustees of the University of Illinois (“University”) of my image, voice, or both from the conference, in (1) the video, photograph, or audio recording from the conference; and (2) any video, photograph, or audio recording reproduced either in whole or in part from the video, photograph or audio recording from the conference: regardless of whether these materials are used for fundraising, advertising, publicity, or any other purpose on behalf of either the University or its Foundation. I warrant that I have the full right and authority to grant this consent. In addition, I waive all claims to compensation or damages based on the use of my image or voice, or both, by either the University or the Foundation. I also waive any right to inspect or approve the finished photograph or video or audio recording. I understand that this consent is perpetual, that I may not revoke it, and that it is binding on me, my heirs and assigns. I warrant that I am at least 18 years of age and that I am competent in my own name insofar as this consent is concerned, or that I am the parent or legal guardian authorized to sign on behalf of a person under age 18. I further attest that I have read this consent form and fully understand its contents. The submission of this form represents my photo/videoVideo/Photo/Audio release.*

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