Cloud Video Recording Consent Form
Please complete this form to provide your consent for video recording and storage in the cloud.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Organization or Affiliation (if applicable)
Role or Relationship to the Event/Session
*
Please Select
Participant
Presenter/Speaker
Organizer/Staff
Visitor/Guest
Other
Name of the Event/Session/Project
*
Date of Recording
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Purpose of Video Recording
*
Please Select
Training/Education
Internal Review/Documentation
Public Sharing/Broadcast
Research/Analysis
Other
How will the recording be used? (Select all that apply)
*
Live streaming
On-demand viewing
Archival/storage only
Sharing with participants only
Sharing with the public
Other
By signing below, I confirm that I have read and understood the information above and voluntarily consent to the video recording and its storage in the cloud as described.
*
Submit Consent
Submit Consent
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