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IOK Media Release Form

Welcome to the IOK Media Release Form. Please read the terms and conditions. If you consent, fill out the form below.

I, the undersigned, give permission to the Institute of Knowledge (IOK) (hereafter referred to as "IOK") to use, reproduce, distribute, display, and create derivative works of the following media types in which I appear: video, photo, audio, and textual content. 

I acknowledge and agree that IOK may use the media in various formats and through different channels, including but not limited to websites, social media platforms, advertisements, broadcasts, publications, and any other promotional or educational materials in any medium. By signing this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting.  

I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I understand that I will receive no payment or other compensation for the use of the media. I also understand that this material may be used by IOK (Institute of Knowledge) in diverse educational settings within an unrestricted geographic area.  

I release and discharge IOK and its agents, representatives, and assignees from any claims, actions, damages, costs, or liabilities of any kind, whether in connection with the use of the media or otherwise. I understand that there is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.  

By signing this form, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for purposes described in the above release. 

(If this release is obtained from a presenter under the age of 19, then the signature of that presenter’s parent or legal guardian is also required.)
Signature

Parent/Legal Guardian Information

Please request your parent/legal guardian's information and signature.
Signature