Speaker Release Form

This form is provided to you as a speaker in a course, seminar, lecture, or other presentation at Connecticut Pharmacists Association (CPA). CPA would like to capture your presentation in audio and/or video format. To that end, we want to make certain that both you and CPA have the necessary rights and protections to continue to benefit from your presentation.

CPA will hold the copyright to the Recording and would like to have the option to continue to use the Recording and Materials. In addition to creating an archive copy for educational purposes, possible uses of the Recording include, but are not limited to, inclusion in CPA websites, the creation of CDs or DVDs, and delivery to the public via distribution partners.

Finally, please understand that there is nothing in this Speaker Release requiring you to give your ideas to CPA. If you plan to give the same talk somewhere else, there is certainly nothing in this release that would keep you from that engagement. And, unless there is an exceptional reason, CPA is happy to provide a copy of the Recording to you and will grant you a non-exclusive license to use the Recording in any way you’d like.

Information About You

Information About Your Presentation