Instructors Media Release Form

I hereby authorize any images or video footage taken of myself, in whole or in part, individually or in conjunction with other images and video footage, to be displayed on any online or physical platforms belong to Canadian Board of Aesthetic Medicine (CBAM) or any of its partners platforms, and to be used for media purposes including promotional presentations and marketing campaigns. I also authorize any media material created by myself within the Canadian Board of Aesthetic Medicine (CBAM).

I waive rights to privacy and compensation, which I may have in connection with such use of my name and likeness, including rights to be written copy that may be created in connection with video production, editing and promotion therewith. If there is any agreement for the payment of my footage, I acknowledge that I will receive the agreed amount of payment in the format of email transfer. I also acknowledge that Canadian Board of Aesthetic Medicine is the sole owner of the footage which is produced by myself, in whole or in part, individually or in conjunction with other images and video footage, paid version or agreed to be a non-paid version and I waive rights to any ownership of such a footage.