Makers@USM International Virtual Fair 2022 Video Release Form Title of Project Video: _________________________________________________________________________ _________________________________________________________________________ This release form concerns the video stated above produced by the undersigned and submitted to the Makers@USM for the Makers@USM International Virtual Fair 2022. By signing below, I grant permission for the Makers@USM International Virtual Fair 2022 to use, reproduce, and/or publish photographs and/or videos that may pertain to me—including my image, likeness and/or voice without compensation. I understand that this material may be used in Makers@USM International Virtual Fair 2022 copyrighted materials, websites, publications, and productions. This authorisation is continuous and may only be withdrawn by my specific rescission of this authorization. I further agree that my name and identity may be revealed in descriptive text or commentary in connection with the images and/or videos. Participants: Name: Signature: .................................... Name: Signature: .................................... Name: Signature: .................................... Parent or Official Guardian: Name: Signature: .................................... Name: Signature: .................................... Name: Signature: .................................... Teacher Advisor: Name: Signature: .................................... Name: Signature: .................................... Country Title of Project Category 1. University/College 2. Secondary School 3. Primary School School Name School Address School Phone School Fax School email Signature and Chop Date Head of Institution