Recording Consent Form

Middlebury College preserves and disseminates recordings of select events sponsored by the College. This form must be filled out where indicated and the required I AGREE boxes must be checked in order to make an audio or video recording of any speaker, presenter, or participant. If an event includes multiple participants who are recorded, each must submit a separate release form.

Fields marked with a red asterisk (*) are required.

Note: Event organizers must also fill out the Event Recording Release Form, available at go.middlebury.edu/recording

Basic Information
:
Files must be less than 2 MB.
Allowed file types: gif jpg png.
Speaker Contact Information (E-mail address required)
Address
Phone
E-mail
Agreement Clause
By checking I AGREE, you are giving consent for Middlebury College to record, retain, and distribute your presentation under the terms selected above. You are indicating your agreement to create and sign this electronic record in accordance with Chapter 20 of Title 9 of the Vermont Statutes Annotated.

Center for Careers and Internships

Middlebury College
Middlebury, Vermont 05753
Phone: (802) 443-5100
E-mail