Teen Advisory Board Commitment and Photo/Video Release Form
Student Personal Commitment and Photo/Video Release
I have read and understand the requirements of the Teens in the Driver Seat
®
Teen Advisory Board (TAB) and the expected level of commitment. If selected as a TAB member, I agree to actively promote and enhance traffic safety awareness among my peers and within my community. I will lead by example as a positive ambassador for the TDS program, participate in all scheduled meetings, and make myself available for required events as needed. I also commit to responding promptly to email communications and providing timely feedback and ideas to support the program.
I also grant permission to the Teens in the Driver Seat program and the Texas A&M Transportation Institute (collectively TTI) to take and use visual/audio images of me as part of ongoing communications efforts to advance the
Teens in the Driver Seat
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program, a program designed to reduce the frequency of vehicle crashes involving teenaged drivers. "Visual/audio images" includes any type of recording whatsoever including, but not limited to, photographs, digital images, drawings, renderings, voices, sound or video recordings, audio clips, or accompanying written descriptions. I agree that TTI owns the images and all rights related to them. I understand that the images may be used in video and audio productions, public service announcements, on the
Teens in the Driver Seat
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program website (t-driver.com), and any other uses deemed appropriate by TTI, without compensation or notification. I waive any right to inspect or approve the finished images or any printed or electronic matter that may be used with them. I release and hold harmless TTI, its employees and agents, from any claims, damages, or liability for any violation of any personal or proprietary right I may have in connection with such recording or use. I freely and voluntarily consent to the use and publication of the images by TTI from this date forward until I revoke this consent in writing.
I agree and commit to the above statement.
Student Name
Date
Signer: Submitting will display a signature box. once signed and submitted, you will receive a verification link in your email. Please watch all email folders for the verification email. This step must be completed for the form to be signed.
I understand I need to complete the verification email.
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