Media Release and Confidentiality Agreement 2024 Research Workshop Form Photo/Audio/Video Release I hereby consent to and authorize the Hydrocephalus Association (HA) and its representatives, successors, assigns, licensees, employees, and any person, corporation or entity acting under its permission or with its authority, including anyone distributing or disseminating communications by or regarding HA, the irrevocable right, permission, and license to publish, reproduce, distribute, and/or otherwise use my name and any still or moving image, likeness or sound recording of me. I hereby waive all rights of inspection or approval with regard to any recording, taping, reproduction, proposed printed, audio or video publication, and/or other use of my name and the performance. I hereby release, discharge, and agree to hold harmless HA from and against any and all liability to me or any third parties resulting from the use of my name and performance. I agree that my participation herewith is voluntary and without compensation, and I assume complete responsibility for my actions in connection herewith. Nothing herein shall constitute any obligation on the part of HA to make any use of any of the rights granted herein. This authorization and release shall be binding upon my heirs, successors, assigns, and personal representatives, without regard to whether it is expressly acknowledged in any instrument of succession or assignment. Confidentiality Agreement The Hydrocephalus Association (HA) is the US’s leading non-governmental supporter of research into the causes, treatments, cure, and prevention of hydrocephalus and its complications. To further enable its important mission, HA convenes conferences and workshops for HA's funded investigators and select invited guests that aims to stimulate the open exchange of scientific information, to promote collaborations and to spark discussions of novel approaches to understanding and treating hydrocephalus. In an attempt to allow for an open discussion, HA requests that, as a participant in the 2024 Hydrocephalus Association iNPH Workshop (the “2024 Workshop”), you commit to hold in confidence all Confidential Information (as defined below) sent in advance of, and presented at, the 2024 Workshop. To ensure such confidentiality, HA has created the following confidentiality policy and asks that you, as a party who will see and receive Confidential Information as an attendee and/or participant at the 2024 Workshop (a “Receiving Party”), sign this confidentiality agreement (“Agreement”), acknowledging that you have read, understand and agree to the terms below. Confidentiality Policy arrowup6 As a participant of the 2024 Workshop, Receiving Party understands that he/she will be exposed to, and possibly receive, Confidential Information, the disclosure or use of which may be prejudicial or harmful to the disclosing party (“Disclosing Party”) and to the goals and work of HA. This Agreement is effective as of the date on which it has been signed below (the “Effective Date”), and shall govern the conditions of receipt or disclosure of all information received by or disclosed to attendees (including the undersigned) in connection with the 2024 Workshop. “Confidential Information” means information provided at the 2024 Workshop (including through such means as meetings, websites, emails or handouts) that: (i) relates to proprietary and confidential data, and (ii) is designated as confidential by the Disclosing Party or HA prior to or contemporaneously with disclosure of such information to the Receiving Party; or (iii) is designated as confidential by the Disclosing Party or HA within a reasonable period of time after the disclosure of such information; provided, however, that such information shall in such cases only become Confidential Information as of the time the designation as confidential is communicated to the attendee/participant; or (iv) would be apparent to a reasonable person having the professional and scientific background, training, experience and knowledge of the Receiving Party that such information is of a confidential or proprietary nature and the maintenance of which would be important to the Disclosing Party. Receiving Party hereby agrees that, for a period of five (5) years from the Effective Date, he/she: (i) shall hold Confidential Information in confidence, (ii) shall not use or exploit Confidential Information for his/her own benefit or for the benefit of another without the prior written consent of the Disclosing Party, and (iii) shall not disclose Confidential Information to any other person without the express written consent of the Disclosing Party. Confidential Information shall not include information that Receiving Party can demonstrate by written records: was previously known to the Receiving Party without any obligation of confidentiality or restriction on use and/or disclosure; is now public knowledge, or becomes public knowledge in the future, other than through acts or omissions of the Receiving Party in violation of this Agreement; is lawfully obtained by the Receiving Party without any restriction on use and/or disclosure from sources independent of the Disclosing Party who have a lawful right to disclose such Confidential Information; or is independently developed by the Receiving Party without use of the Confidential Information. Receiving Party may disclose Confidential Information to the extent such disclosure is reasonably necessary in complying with applicable governmental laws or regulations, or court order, provided, however, Receiving Party agrees to provide Disclosing Party with notice of such requirement in advance of disclosure, if possible, so that such Disclosing Party may take any action it deems appropriate to prevent or limit disclosure, and Receiving Party agrees to provide reasonable cooperation with such actions. This Agreement and the performance of all obligations hereunder shall be governed by and construed in accordance with the laws of the State of Delaware, without regard to its conflict of laws principles. No waivers or modifications to this Agreement will be effective unless in writing and signed by both parties. 4. Ownership of Confidential Information. Attendees and participants agree that the Disclosing Party is, and shall remain, the exclusive owner of Confidential Information and all patent, copyright, trade secret, trademark and other intellectual property rights therein. No license, conveyance, or abandonment of any such rights shall be affected or implied under this Agreement or by disclosure of such information within HA or at the 2024 Workshop, and the furnishing of Confidential Information to Receiving Party shall not constitute any grant, option, or license to Receiving Party under any patent or other rights now or hereinafter held by Disclosing Party. 5. Return or Destruction of Documents. Receiving Party shall, upon conclusion of the need for any Confidential Information it has received in connection with any work for HA, or upon earlier request of HA, return to HA or destroy all Confidential Information, including but not limited to, Confidential Information in the form of documents, records, notebooks, data, reports, notes, compilations, digital files, computer files and similar materials and any and all copies, reproductions, summaries, extracts or analyses thereof. Notwithstanding the above, Receiving Party: (i) may retain a single copy of the Disclosing Party’s Confidential Information for the sole purpose of ascertaining its ongoing rights and responsibilities in respect of such information; and (ii) shall not be required to destroy any computer files stored securely by the Receiving Party or its Affiliates that are: (x) created during automatic system back up; or (y) retained for legal purposes by the legal division of the Receiving Party and its Affiliates. Please check to confirm you've read the Confidentiality Policy * I have read the Confidentiality Policy By signing below, Receiving Party hereby consents to the terms and conditions set forth in this Agreement. Participant Name * Participant Name First First Last Last Organization * Signature * signature keyboard Clear Date Signed * Submit If you are human, leave this field blank. Δ Was this resource helpful? Yes No Submit Cancel Thanks for your feedback!
