1.Address

Presenter Name and Credentials

Company, Agency, or Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

2.Title of conference of session:

3.Proposed length of conference session:

4.Description of training:

5.List 3-4 Learning Objectives for the session:

Objective 1

Objective 2

Objective 3

Objective 4

6.Brief Bio of Presenter (used to introduce the presenter and to promote the webinar, and should include information demonstrating how the presenter is qualified and knowledgeable about the presentation topic):

7.Please upload a headshot photo we can use to promote the webinar (JPG, GIF, or PNG format)

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TERMS

Payment:
FLA will credit the presenter appropriately in all promotional materials related to the event/webinar. Presenters shall not be entitled to any reimbursement or honorarium for this event/webinar from any source unless agreed upon in writing with FLA.

Copyright and Ownership:
The Presenter represents and warrants that all presentations are original works created solely by the Presenter, except for public domain material that may be incorporated therein. To the extent that the presentations contain any material or excerpt from the works of others, the Presenter shall ensure that it is done with full right and authority, and may be reused as detailed in this Agreement. It is the Presenter’s obligation to obtain all necessary releases, waivers, licenses, and other permission required for the full performance of Presenter’s obligations under this Agreement and to provide such materials to FLA. FLA will be the sole copyright owner of the recorded event/webinar in its entirety. The Presenter grants FLA an exclusive license right, title, and interest in and to the presentation, including all licenses to copyrights embodied therein for the purpose of the FLA educational program. FLA may record the training, provide the recording to attendees, incorporate the training in its "On Demand" training program, and promote the "on demand" version of the training on its website, social media pages, and other organizational platforms.

8.By affixing my initials below, I am attesting to my agreement with the above terms.

9.Printed Name:

10.Date Signed: