Board Meeting Registration Form

Please complete and submit this form to attend an open NCUA Board meeting.

Indicates required field
Registrations within 2 hours of the event will not be accepted.
Suggested format: 555-555-5555

Authorization for use of Photograph or Likeness

I hereby authorize the National Credit Union Administration, an agency of the Executive Branch of the United States, its officers, employees, agents and personnel who are acting on its behalf (together “NCUA”) to take and use my photograph or other likeness, and to make and use recordings of my voice, for purposes related to the mission and official business of NCUA. I understand that my photograph or likeness, and my recorded voice, will not be used for any profit-making purpose, sold to third parties, or disseminated or used other than in connection with NCUA-sponsored publications and activities.

I understand and agree that these materials are the property of NCUA and will not be returned and I waive any right to any compensation arising or related to the use of these materials. Subject to these conditions, I hereby release NCUA from all claims, demands and liabilities whatsoever arising in connection with its use or dissemination of my photograph or likeness, and my recorded voice.

Privacy Notice

The information you provide will be used to manage attendance at NCUA Board meetings. The NCUA securely maintains all personally identifiable information in its control and only shares it outside of the NCUA if required by law or regulation. For additional information, please contact privacy@ncua.gov.

Last modified on
05/01/20