If applying through the ASLFL website, you must send a signed consent form to firstname.lastname@example.org.
Photograph and Film Footage Release Statement:
I give my consent to the ICCUSA Foundation, Inc. to publish and use photographs and film footage taken of my son/daughter (as named above) at the Albert Schweitzer’s Leadership for Life Conference. All materials become the property of ASLFL and may be used, without further permission, for publicity purposes including print, television or web based sources. If you have any queries in relation to the above condition, please contact ASLFL at: email@example.com to discuss the matter.
Albert Schweitzer Leadership for Life
219 South Street – Suite 101
New Providence, New Jersey 07974