Copyright Attestation & Release

Must be Completed by March 1

If you have more than one presentation, please complete this form for each session.

A copyright release is a document written by a copyright holder allowing you to use their copyrighted work in a specified way. It is important that you tell the copyright holder that you would like to use their information in a presentation to the national conference of PAs and if you plan to include it as part of your electronic handout that will be posted online for conference registrants.

The following sites will provide you with additional information regarding copyright and how to get a release:

I represent that (a) the presentation and all associated materials do not infringe or otherwise violate any third party's copyright, trademark, trade secret, or other intellectual property rights, and (b) I am the owner of all rights in the presentation and associated materials, or I have obtained appropriate written consent from the owner of any copyright or other intellectual property rights in any third party materials used in the presentation and/or associated materials. I agree to indemnify, defend, and hold harmless AAPA from any and all claims arising from or related to any infringement or related claims associated with AAPA's use or other exploitation of the presentation and/or associated materials.

Please select one of the following: