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Sheltered 2024 Speaker Confirmation
Speaker Information
Name
(Required)
First
Last
Title
(Required)
Organization
Phone
(Required)
Email
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Presentation Information
Presentation Title
(Required)
Speaker Agreement
(Required)
I have read this Release and hereby grant NTSA the permission as described in this Release.
This agreement is provided to you as a speaker in the National Trafficking Sheltered Alliance (“NTSA”) Sheltered Conference, in person or virtually. NTSA would like to record and capture your presentation or performance in audio and/or video format. To that end, we want to make certain that both you and NTSA have the necessary rights and protections to continue to benefit from your presentation.
At the end of this event, a media release will be generated including the captured presentation or performance (“Recording”) and use of all content and materials that are presented in or otherwise provided for use in connection with the Recording (“Materials”). NTSA will hold the copyright to the Recording and would like to have the option to continue to use the Recording and Materials. In addition to creating an archive copy for educational purposes, possible uses of the Recording include, but are not limited to, inclusion in NTSA websites, social media, the creation of CDs or DVDs, and delivery to the public via distribution partners. You also understand that the Recording and Materials may be captured and delivered in any media, format, and form of distribution, including, without limitation, broadcasting and live streaming.
NTSA will also like to have the option to use your headshot, biographic information and session description for the purpose of promotion of the Sheltered 2024 conference via NTSA website, social media, email and print. Biographical information only refers to that information you submit in this form regarding your ‘short professional bio.’
Finally, please understand that there is nothing in this Release requiring you to give your ideas or copyright to NTSA. If you plan to give the same talk, performance, or presentation somewhere else, there is nothing in this release that would keep you from that engagement and you will retain all of your intellectual property rights to the underlying session(s) presented by you that is captured in the Recording. And, unless there is an exception called out to you by NTSA, NTSA is happy to provide a copy of the Recording to you and will grant you a non-exclusive license to use the recording for your personal non-commercial use. Please keep in mind that NTSA marks, including NTSA's name and logo, which are often captured in the Recording, may not be used without the prior written consent of the organization.
In addition to the use described at the beginning of the release, I hereby confirm that:
(Required)
I give permission to NTSA to capture my presentation and/or performance identified above for use as described in this Release.
I give NTSA permission to use my name, likeness and professional biographic information and the Materials to promote leading up to and use post-event for the Sheltered Conference.
I acknowledge that this Release is governed by Maryland law and is a legally binding agreement.
I verify that I have authority to grant the permission and to enter into this agreement and that I will be bound by its terms.
Signature
(Required)
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