PHOTOGRAPH GRANT OF USE FORM
I, (legal name) , being known within the
Society for Creative Anachronism as (name) , do hereby agree
to the following with respect to my photograph(s) (hereinafter “the Photograph”) entitled
, as follows:
BHB / PM NEW 8/10
GRANT OF USE
The SCA may publish the Photograph(s) in The Compleat Anachronist for initial publication and unlimited reprints,
as well as publish the Photographs(s) in digital form (CD or similar media).
I agree, represent and warrant that:
1. if any individual facial features are identifiable (not obscured by helmets, garb or shadowing) in my
Photograph I have or will submit an
The Compleat Anachronist
MODEL’S RELEASE FORM from each person
whose features can be recognized; and
2. I am the owner of the Photograph.
I agree to indemnify and hold harmless the SCA in the event any claim is brought against the SCA by any person
claiming that they have any right, title or interest in the Photograph superior to mine or that I did not have lawful
authority to grant the above permission and rights to the SCA.
SIGNATURE
DATE E-MAIL ADDRESS
MAILING ADDRESS
Society for Creative Anachronism, Inc.
Post Office Box 360789
Milpitas, California 95036-0789
USA
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