A/V Release Form

This service is now part of the Computer Administration group. All mail sent to [av @ ias.edu] will be answered by the A/V person from that group.

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First Name

Last Name

Address

City

State

Zip Code

Telephone Number

Emergency Contact Number

Institution / University

Program / Talk (purpose for visit)

A/V Needs

digital projector (for laptop presentation)

blackboard

laser pointer

remote slide advancer

Please detail any other A/V needs

Computing Needs

Will you be using your own computer for the presentation?

If you are bringing your own, what operating system do you have?

What type of presentation file(s) will you be using?

If you intend to use an IAS computer, please explain what may be needed to run the files you will use.

Please detail any other computing needs.

Check here if you would you like to schedule a rehearsal of your presentation.

In connection with my participation in the Event, and without compensation of any kind:

I acknowledge and agree that the Institute may itself, or engage others, to: (a) take photographs at the Event; (b) prepare audio, video or audio-video or other recordings of the Event, or portions thereof (including recordings of a live-streamed broadcast of the Event) in all formats and media, whether now known or hereafter developed throughout the world; or (c) prepare excerpts, transcripts or summaries of the Event, or portions thereof (all collectively, “Works”) and that such Works, and all rights in and to such Works, including all copyrights, shall belong solely to the Institute in perpetuity. If provided with copies of Works, I will not display, publish, republish or disseminate them, in whole or part, without the Institute’s consent.

I expressly authorize the Institute (and its agents, successors, assigns, and designees) to record and otherwise use my name, likeness, image, voice, biographical information, words and performance to: (i) promote the Event; (ii) produce the Event; (iii) prepare Works and derive, edit and combine Works to create additional (new) Works; (iv) display, publish, republish or disseminate Works and authorize others to display, publish and republish Works; and (v) otherwise use Works to promote and further the mission of the Institute, in its sole discretion. I may later withdraw the foregoing authorization but such withdrawal shall not be effective as to any Works which: (x) have previously been displayed, published, republished or disseminated; (y) if made unavailable, would expose the Institute to possible legal liability to any third party; or (z) involves other or additional participants. The Works are intended to be used in connection with the Institute’s objectives of promoting and supporting research in the sciences and humanities.

Please add below any comments or questions.