Permission and Release Form for Video/Audio Submissions

WORLD MISSIONS ALLIANCE EVENT/PUBLICATION *

TITLE and TYPE of Presentation *

Author/Presenter(s) *

I hereby grant permission for WORLD MISSIONS ALLIANCE to record my presentation and comments (The Material), in any and all forms, for the above-named event and/or publication. I further grant permission for WORLD MISSIONS ALLIANCE to transcribe and reproduce this Material as part of the WORLD MISSIONS ALLIANCE Digital Library, and to distribute the Material for sale in complete or partial form as part of a WORLD MISSIONS ALLIANCE product on CD-ROM, broadcast, webcast, cablecast, laserdisc, multimedia or any other media format now or hereafter known. (Not all formats will be utilized.) Accordingly, I give WORLD MISSIONS ALLIANCE the right to use my image, voice, pronouncements, likeness, and my name, and any biographical material submitted by me, in connection with the Event/Publication named above, whether used in excerpts or in full, for the reproduction and distribution described above and for any associated advertising or exhibition. I understand that WORLD MISSIONS ALLIANCE, as a not-for-profit entity with broad educational and ministry purpose and its agents will invest considerable resources in reliance on the permissions and releases herein, and that WORLD MISSIONS ALLIANCE is under no obligation to exercise any or all of the rights, licenses, and privileges herein granted. I hereby release and discharge WORLD MISSIONS ALLIANCE and the Event/Publication sponsors and organizers from any and all liability arising out of my participation in the Event. All permissions and releases granted by me herein shall be effective in perpetuity and extend and apply to WORLD MISSIONS ALLIANCE and its assigns, contractors, sublicensed distributors, successors, and agents. In the event that any materials used in my presentation contain the work of other individuals or organizations (including any copyrighted musical compositions or excerpts thereof), I understand that it is my responsibility to secure any necessary permissions and/or licenses* and will provide them in writing to WORLD MISSIONS ALLIANCE. *

Yes, I have the necessary licenses and/or permission to use the works of others.
No, I have not used third-party material.

Signature *

Name *

First

Last

Date *

Permission and Release Form for Video/Audio Submissions

Title