Medical Ethics Education Series Recording Consent Form
Please provide your details and consent to the recording of this educational session.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Institution/Organization
Session Title or Date Attending
*
Please read the following consent statement carefully:
I understand that the Medical Ethics Education Series session I am participating in may be recorded for educational, training, and archival purposes. I consent to the use of my image, voice, and contributions as part of the session recording, and understand that these recordings may be shared with participants, educators, and relevant stakeholders for non-commercial, educational purposes only. I acknowledge that participation is voluntary and that I may contact the organizers with any questions regarding this consent.
Signature (Please sign to confirm your consent)
*
Date of Consent
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Consent
Submit Consent
Should be Empty: