Retreat Participants: Please read this media release form & check the box indicating your acknowledgment before proceeding to check out.

By signing this release form, I authorize Tantrika Institute, Inc. to record my image and voice, including photographic, sound and video recordings including submitted email text questions and my recorded responses.

I hereby grant to Tantrika Institute Inc., the right to use, publish, and reproduce, for all purposes, my name, pictures of me in film or video form, sound and video recordings of my voice, and printed and an electronic copy of the same in any and all media including, without limitation, cable and broadcast television and the Internet, and for exhibition, distribution, promotion, advertising, sale, press conferences, meetings, hearings, educational conferences and in brochures and other print media. This permission extends to all languages, media, formats and markets now known or hereafter devised.

I further grant Tantrika Institute, Inc. all right, title, and interest that I may have in all finished pictures, negatives, reproductions, and copies of the original print, and further grant Tantrika Institute the right to give, sell, transfer, and exhibit the print in copies or facsimiles thereof, for marketing, communications, or advertising purposes, as it deems fit. I also waive any right to inspect or approve finished photographs, audio, video, multimedia, or advertising recordings and copy or printed matter or computer generated scanned image and other electronic media that may be used in conjunction therewith or to approve the eventual use that it might be applied.

As a participant of Tantrika Institute Inc.’s retreats and programs, I understand that I will receive no compensation for being recorded or for any use of the recorded materials for any of the purposes authorized by this release, and I affirm that I am signing this release solely in consideration of my participation in retreats and programming offered by Tantrika Institute Inc.

I am voluntarily making this grant of rights. I further agree to release and forever discharge Tantrika Institute Inc., its employees and designated representatives from all claims in law or equity that heirs, my personal representatives or I have or shall have arising out of Recordings.

If any participant wishes NOT to have the image, voice, or words recorded or published, please notify Tantrika Institute, Inc. IN WRITING at seven (7) days prior to the commencement of the event.

I acknowledge that I have read the foregoing and I fully understand the contents.