This form is provided to you as a speaker in a course, seminar, lecture, or other presentation. Dermacast would like to capture your presentation in audio and/or video format. To that end, we want to ensure that both you and the Dermacast have the necessary rights and protections to continue to benefit from your presentation.

Dermacast will hold the copyright to the Recording and would like to have the option to continue to use the Recording and Materials for educational purposes on Dermacast websites.

to the Dermacast to promote and publish my lecture on the website of https://www.dermacast.ch Such consent includes, but is not limited to the use of my name, recorded voice, photograph, and video presentation (PowerPoint, video or equivalent).

The video-recording of presentations will be inserted in a protected area on the website https://www.dermacast.ch and available to logged in users only.

By authorizing Dermacast to publish my presentation, as well as to use any written materials submitted by me in connection with my presentation, I agree that the content, including all written materials submitted in connection with my presentation, will not violate or infringe the rights of any third parties, including but not limited to copyrights, rights of privacy, trade secrets and non-disclosure agreements.

I also waive any claim for compensation.

Agreed and authorized by:

We appreciate your cooperation!

By submitting this form you will receive a confirmation sent to your E-Mail provided in this form.