Please fill the form below to participate

Owing to the nature of our activities, it is prudent that you have medical insurance.
Pay the annual commitment fee of Ksh. 200 via MPESA to 0758 66 99 76- TERESIA MAINA. Input the MPESA code and name as it appears on the payment confirmation message

I hereby grant Strathmore University and its affiliates, agents and any individuals, entities or others acting under its authority or on its behalf (the ‘University’ ) to use my photograph, video, my quotes in an interview (or excerpts of quotes), film, tapes, my name, sound recording or my image and likeness in its publications, advertising or any other electronic or digital forms of media throughout the world.
 
I hereby assign to the University all rights, title and interests including copyright in and to any such photograph, video, quotes in interview (or excerpts of quotes), film, tapes, my name or sound recording in any digital format. I also agree that there will be no type of payment, royalty or fee in connection with the rights granted herein.
 
I hereby irrevocably authorize the University without limitation/restrictions in whole or in part and in any medium or content howsoever, including but not limited to, reproduce, exhibit, publish, distribute or disseminate any and all such photographs, videos or sound recordings in any digital format for purposes of promoting the University mission & vision, research, commercial, promotional or education purposes.
 
I release and discharge the University from all claims and demands arising out of or in connection to the use of any such photograph, video and sound recording, including but not limited to invasion of privacy, claims compensation and moral rights.
 

The University is committed to processing your personal information in accordance with the University’s Data Protection Policy, Data Protection Act 2019 and its Regulations. The personal data collected as detailed will therefore be processed in line with the relevant Data Protection, Policies, Laws and Regulations in the way(s) and purpose(s) detailed in this Media Consent and Release Form.