SCA 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 REV 12/10
GRANTS OF USE
The SCA may (check all that apply):
publish the Photograph once in an issue of ;
publish the Photograph no more than times in the above publication;
publish the Photograph along with the article entitled ;
publish the Photograph with any article or as a stand-alone picture in any SCA publication;
publish the Photograph on a SCA web site for ;
publish the Photograph on any SCA web site or similar media.
PERPETUAL GRANTS OF USE
I agree that the Photograph(s) identified above, as well as any photos I submit to the SCA at any time in the
future, may be used for any of the Grants of Use set out above, whether I have checked them or not.
I agree, represent and warrant that:
1. I am the owner of the Photograph.
2. that all of the grants of use I have given above include the right of the SCA to publish my photo in
any re-print of a publication including electronic media.
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
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