Webinar and Recording Agreement Please complete the below form to agree to being part of and recorded on any AGES webinars or during conferences and workshops. AGES Webinar and Recording Agreement Name(Required) First Last Email(Required) Consent(Required)By selecting I agree, I give my permission to AGES to video record and/or photograph me. Furthermore, I also agree to have my presentation(s) made available on the password-protected section of the AGES website and available for members of AGES for educational purposes. I acknowledge that AGES may edit, adapt, add to, subtract from, re-arrange, revise or change the materials either in whole or in part with audio, video or photographs. Furthermore, I agree that I will not have the right to approve the materials before publication on the AGES website or distributed to AGES members. I will not hold AGES responsible for any claim demand, cause of action or proceeding of whatever nature arising out of any use of the video recording/photographs of me, including claims for invasion of the right of privacy or for what might be deemed to be misrepresentation of character or person due to distortion, optical illusion or faulty reproduction which may occur in the finished product. I acknowledge and accept that I have no interest in the copyright to the materials now or in the future, nor am I entitled to any payment whatsoever (including any royalties) of the materials at any time.I agreeI do not agreeThe presentation(s) are from(Required) AGES Annual Scientific Meeting AGES Pelvic Floor Symposium AGES Focus Meeting AGES Lap-D Workshop AGES/RANZCOG Trainee Workshop AGES Webinar Other Signature(Required)Date(Required) DD slash MM slash YYYY Δ