Annual Convening Speaker Information Form

Thank you for sharing your voice at Building Trust in our Sector, Forefront’s 2022 Annual Convening.

Please fill out the form below to ensure the Forefront team has everything needed to effectively promote you throughout our annual convening communications and materials. If you have questions about any of the requested information, please reach out to us at [email protected].

Virtual Summit Speaker Information Form

Thank you for sponsoring Forefront's first Virtual Summit, taking place June 24, 2020 from 11am-1pm. Please answer the following questions to ensure the Forefront team is best equipped to promote your organization in all Virtual Summit communications and materials.

Speaker Name*
Please share the name of the full name of the speaker.
Organization Name
Please provide the name of the organization, if any, the speaker is affiliated with.
Title of Speaker
What is the speaker's title at the affiliated organization?
Contact Email Address*
Speaker Biography*
Please share a short biography of the speaker, no more than 250 words.
Social Media Handles*
Please list the speaker's social media handles including Twitter, Instagram, Facebook, LinkedIn, and any other applicable channels.
Website
Please share which website, if any, Forefront should link to in annual convening promotional materials.
Is there anything Forefront should know about how to promote you?
Please provide any specific naming conventions, capitalization requests, and so on. If you would prefer not to be acknowledged in any particular way (for example, no social media mentions), please note that as well.
Headshot
Please upload a .png or .jpg file of your headshot. The higher the resolution, the better. Please ensure that images are not less than 400x400 pixels.
Drop files here or

Accepted file types: jpg, png, Max. file size: 30 MB.
Consent
RELEASE AGREEMENT

Whereas, FOREFRONT is engaged in content creation for our annual convening

Whereas, I, the undersigned, have agreed to appear in the Content, and

Whereas, I understand that my voice, name, and image will be recorded by various mechanical and electrical means of all descriptions (such recordings, any piece thereof, the contents therein and all reproductions thereof, along with the utilization of my name, shall be collectively referred to herein as the "Released Subject Matter"),

Therefore, I hereby freely and without restraint consent to and give unto FOREFRONT and its agents or assigns or anyone authorized by FOREFRONT (collectively referred to herein as the "Releasees") the unrestrained right in perpetuity to own, utilize, or alter the Released Subject Matter, in any manner the Releasees may see fit and for any purpose whatsoever, all of the foregoing to be without limitation of any kind. Without limiting the generality of the foregoing, I hereby authorize the Releasees and grant unto them the unrestrained rights to utilize the Released Subject Matter in connection with the Content's advertising, publicity, public displays, and exhibitions. I hereby stipulate that the Released Subject Matter is the property of the Producer to do with as it will.

I hereby waive to the fullest extent that I may lawfully do so, any causes of action in law or equity I may have or may hereafter acquire against the Releasees or any of them for libel, slander, invasion of privacy, copyright or trademark violation, right of publicity or false light arising out of or in connection with the utilization by the Releasees or another of the Released Subject Matter.

It is my intention that the above-mentioned consideration represents the sole compensation that I am entitled to receive in connection with any and all usages of the Released Subject Matter. I expressly stipulate that the Releasees may utilize the Released Subject Matter or not as they choose in their sole discretion without affecting the validity of this Release. This Release shall be governed by Illinois law.

I hereby certify that I have read, understood, and agreed to the foregoing.

I consent.
- I do not consent to the release.
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Annual Convening Speaker Information Form

Virtual Summit Speaker Information Form

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