DISCLAIMER: By submitting this form, in connection with participating in the ECR EGTC Conference on November 26-27, 2025, I hereby consent to the free use of my image, voice, and statements recorded during the event for the purposes outlined above. This consent includes the processing of my data for editing, promotional, and informational activities, including the broadcasting of materials published on the ECR EGTC website and social media platforms, as well as storing my data in computer memory and/or computer and multimedia networks. I also consent to the reproduction of my image, voice, and statements by any technique, including but not limited to printing, analog, or digital formats, without the need for further authorisation.

I am aware that I can withdraw my consent at any time. I acknowledge that withdrawing my consent will not affect the lawfulness of processing carried out based on this consent prior to its withdrawal.

I declare that I am voluntarily providing my personal data for the purposes mentioned above and consent to its processing. I further declare that I am of legal age and have full legal capacity.