I hereby consent to and authorize the use of my video recorded and/or photographed image and/or likeness by Indiana IEP Resource Center (IEPRC). It is understood that my image will become a part of a video and/or printed work produced by IEPRC. I release IEPRC, their agents, and assigns from any and all liability, including, but not limited to, claims for libel, right of privacy, or right of publicity that I now possess or may later acquire, resulting from the production, reproduction, distribution, marketing, or use of the image by IEPRC.

I understand that I will not be separately compensated by IEPRC for my participation in the activities recorded in these materials or for IEPRC’s use of these materials. IEPRC agrees to take reasonable steps to preserve the integrity of these materials and their use, but I understand that IEPRC cannot be and is not responsible for unlawful use of the materials by third parties not affiliated with IEPRC. I am over eighteen (18) years of age and competent to execute this Release and Authorization. At any event where video/audio recording is implemented, an attempt to designate seating areas for people who do not wish to be recorded will be made.