Comprehensive Arabic For Adults in Istanbul – Registration Form

Adults Registration Form

    New Registration Form

    Student Information

    Course Preferences

    Media Release Agreement:

    I, the undersigned, agree as follows:

    1. I agree to be photographed, recorded and videotaped by Midad Al-Madina in connection with my
    participation in the Arabic Program.

    2. I understand that I may be recorded while participating in Arabic classes and events.

    3. I hereby irrevocably authorize Midad Al-Madina to copyright, publish, reproduce, exhibit,
    transmit, broadcast, televise, digitize, display, otherwise use, and permit others to use, (a) my
    name, image, likeness, and voice, and (b) all photographs, recordings, videotapes, audiovisual
    materials, writings, statements, and quotations, whether in whole or in part, of me, in any manner,
    form, or format whatsoever now or hereinafter created (collectively, the “Materials”), including
    on the Internet, and for any purpose, including, but not limited to, advertising or promotion of
    Midad Al-Madina Institute, its affiliates, or their services, without further consent from or
    payment to me.

    4. It is understood that all of the Materials and any derivative(s) thereof, such as films,
    audiotapes, videotapes, reproductions, media, plates, negatives, photocopies, and electronic and
    digital copies of the Materials, are the sole property of Midad Al-Madina Institute. I agree not
    to contest the rights or authority granted to Midad Al-Madina. I hereby forever release and
    discharge Midad Al-Madina, its directors, officers, employees, volunteers, licensees, agents,
    successors, and assigns from any and all claims, actions, damages, liabilities, costs, or demands
    whatsoever arising by reason of defamation, invasion of privacy, right of publicity, copyright
    infringement, or any other personal or property rights from or related to any use of the
    Materials. I understand that Al-Madina is under no obligation to use the Materials.

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