Recording Consent Form

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Name

Title of Talk

Summary of Talk

If you have accompanying slides, please upload them here:

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By signing below I consent and permit the University of Warwick to record a photographic image, make an audio recording or video me for educational, academic, or research purposes. If I provide consent and the faculty or staff of the University reasonably consider that education or research may benefit from the use of the photographs and/or reproduction of the recordings, I confirm that I have agreed that the University may publish the images or content for academic purposes or any other non-commercial professional manner that the University reasonably believes is proper, including, but not limited to: print publications, video streaming on University of Warwick websites, podcasting, social media, film and broadcast media and any other media or distribution channel now known or to be invented. I understand that the copyright in the pictures and recordings will belong to the University and that the University will not attempt to exercise any rights over the ideas or content of any presentation or other materials I present, and I will not receive payment or any other compensation in connection with the pictures and recordings. I acknowledge that I have had a chance to discuss this form with the University of Warwick staff and where I have asked questions I have received complete answers to my questions. I hereby release the University of Warwick from any and all liability that may or could arise from the taking or use of the pictures and or any content associated.

The University of Warwick to make a recording for any permitted use.

The University of Warwick to make a recording for our digital academic channels including Warwick on iTunes U, Warwick on YouTube/Edu and the University’s website.

Signature (please use your mouse to sign this box)

Date

Address line 1

Address line 2

Town or city

County

Postcode

Country

Privacy notice

This form will be used to manage our Media Library submissions. The consent you give for a specific event will be recorded and associated with your name and any additional contact information, and the data will not be used for any purpose other than as a record of consent.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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