Email Permission Form

Permission Form - Email Version

If you are submitting any original work (not officer missives or event announcements) for publication in the Dragon's Tale, you must give formal permission for the item to be published.  This can be done using the PDF permission form, which can be mailed, or scanned and emailed to the Chronicler, or you can send an email version.  Copy the text below and paste it into your email. Replace the items in [square brackets] with the appropriate names etc.  Decide which permissions you are giving (the items marked with # below) and delete any that aren't appropriate.  Then email the completed form to

Mark your email with "[DT] Permission for for (description of item)" in the subject.

==== copy everything below here ====

 

PUBLICATION PERMISSION FORM

I. [INSERT REAL NAME], being known within the Society for Creative
Anachronism as [INSERT SCA NAME], do hereby grant permission for my
[ARTICLE/PHOTO/POEM/OTHER] entitled [INSERT ARTICLE TITLE/FILENAME/ETC] to
be used as follows (Delete unused options):

# Ownership by the publication titled [INSERT NAME OF PUBLICATION] and all
copyright granted to that publication (or to: Society for Creative
Anachronism, Inc.), which shall determine all future use of the item named
above. (Check no other item.)

# One-time publication in an issue of [INSERT NAME OF PUBLICATION]

# Publication in [INSERT NAME OF PUBLICATION] no more than [NUMBER OF]
times (this may be limited in time to printing within [NUMBER OF] years)

# Performance at the event called [INSERT NAME OF EVENT]

# Posting on the Web page for [INSERT NAME OF GROUP/EVENT/OTHER]

I recognize that persons unknown may link to this site or may use my work
without my permission. I shall hold the web page owner or manager harmless
from such activity if proper notice appears on the Web page, and I am
immediately notified when the link or use is discovered.

If I have checked one of the last four options, I retain all copyright in
my work and may grant permission to any other publication or entity to use
my work, or may withdraw permission if I choose. Any such withdrawal of
permission shall be provided in writing.

I further certify that I am the sole creator of this work, and have not
substantially based it upon the work of any other person. If others have
contributed to this work, or if I have based this upon the work of any
person, their names and addresses (or other contact information) and the
name of the original work are:
[INSERT NAMES OF OTHER ARTISTS/AUTHORS/CONTRIBUTORS]

Signed,

Name: [INSERT YOUR NAME]

Date: [INSERT THE DATE]

Address: [INSERT YOUR ADDRESS]