Photo & Video Media Release Form

You have been directed to this form because you have contributed, or will be contributing photographs, videos, or other forms of media either of your likeness, or otherwise to FlightBridgeED for the purposes of marketing. There are a few points we need to cover before we can accept and use those media items. Please complete the form below and confirm your acceptance of the agreement contained within.

We cannot accept any photos, videos or other media that contain logos of your service, company or hospital without express written permission from an authorized representative of your service, company or hospital. We must immediately reject any content that does not adhere to this guideline.
Thank you for being a part of the FlightBridgeED community!

Name*

Email Address*

Confirm Email Address*

Authorized Representative Contact Phone*

Date of Birth*

Mailing Address*

City*

Zip Code*

Country*

< ! > For addresses outside of the United States, please contact one of our FlightBridgeED associates after you have submitted this form at service@flightbridgeed.com to ensure that your mailing address and contact information are correctly submitted. Thank you!

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Photo and Video Release Agreement*

I expressly warrant that I, personally, own the rights to the photograph, video, or other media that I have submitted, and also warrant that no other parties have any claim on its contents. I hereby grant and authorize FlightBridgeED, LLC. the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures, videos, or other media containing my likeness, or other subject (excluding other individuals) as may be applicable (created by me, created for me by FlightBridgeED, LLC. or created by any other 3rd party) to be used in and/or for any lawful promotional purposes. This authorization extends to all languages, media, formats and markets now known or later discovered. This authorization shall continue indefinitely, unless otherwise revoked in writing. I also waive the right to inspect or approve any finished product. I agree that I will not be compensated for any photographs and I waive any right to royalties or other compensation arising or related to their use. I understand and agree that these materials shall become the sole property of FlightBridgeED, LLC. and will not be returned and hereby hold FlightBridgeED, LLC. harmless and released from all liability, petitions, and causes of action. We may, or may not give notice of having approved, or rejected any materials submitted at the sole discretion of FlightBridgeED.

Type Your Name (as a digital signature)*

Enter the Date this Agreement was Signed*

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Upload Media Here

Drag & Drop Files Here Browse Files

We accept a wide range of files via this interface with a maximum upload size of 100 mb per file. Should you find that you cannot submit your photo, video or other media, or the file you are submitting is larger than 100 mb, please contact us at service@flightbridgeed.com and we will help you.

Thank you again for being a part of the FlightBridgeED community. When you have finished this form, please click the SUBMIT button below.

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Photo & Video Media Release Form

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