Online Webinar Media Waiver and Liability Form

Participant Information

Full Name Email Address Organization

Media Consent

I hereby grant permission to the organizers of the webinar to record, photograph, and/or otherwise capture my image and voice during the event. I understand that these materials may be used for promotional, educational, or other purposes.

I agree to the media waiver as described above.

Liability Waiver

I acknowledge that my participation in the online webinar is voluntary. I agree to release the organizers from any and all liability, claims, or demands for any injury, loss, or damage incurred during or as a result of my participation.

I agree to the liability waiver as described above.

Signature

Type Full Name as Signature Date