This release form gives Iowa’s Area Education Agencies permission to record audio and video and take
photographs of me.

The recordings and photographs may be used by Iowa’s Area Education Agencies as part of public
presentations, programs, PR efforts, publications (whether print or online), social media posts, and other
activities such as teacher training and professional development.

I agree that Iowa’s Area Education Agencies and its staff may record and photograph me and use the
recordings and photographs: (1) in whole or in part, (2) in composite form, or (3) with a real or fictitious name
for any lawful purpose associated with Iowa’s Area Education Agencies’ activities.

I agree that I will not have the right to review any finished products and that I will not be compensated for any
use. I will not hold Iowa’s Area Education Agencies or its staff liable for any distortion, illusion, or alteration
whether intentional or otherwise. There are no restrictions on Iowa’s Area Education Agencies’ use of the
recording or photographs

My permission is given freely in consideration of the general educational value it may represent to Iowa’s Area
Education Agencies