Recording Release Form

The CDA requires all online activity participants to complete a release and authorization form to confirm their agreement to being recorded and webcasted, and to allow the CDA to post the recording on its website for members only access.
Your name(Required.)
Name of education activity(Required.)
Date of education activity (dd/mm/yyyy)(Required.)
RELEASE AND AUTHORIZATION
 
I, the undersigned, hereby grant to the Canadian Dermatology Association (CDA) and its preferred supplier, the right to record and webcast my presentation in the activity noted above. I also grant the CDA the right to post on its website the verbatim recording or transcript text and slides which I am providing for this purpose, for the presentation as noted above. The CDA may use some or all of these components either in whole or in part.

Unless otherwise agreed, I acknowledge that I shall receive no compensation, but that I shall receive an acknowledgement in any published material for my participation.

I acknowledge that my presentation is intended to provide accredited continuing medical education and shall be free of product and service promotion, advertising and other branding strategies.

I acknowledge that I am responsible for obtaining consent for all copyrighted materials and for all patient images and/or information used in my presentation and to limit their use to the extent permitted.

I agree to indemnify the CDA against all claims, losses, costs and damages the CDA may incur by reason of any breach or alleged breach of the warranties provided in this agreement.
AGREEMENT
If you consent to the above, please check the "I AGREE” checkbox and add a date before submitting.
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