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Poetry Release Forms |
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click here for Word version of YOUTH POETRY RELEASE FORM
click here for PDF of YOUTH POETRY RELEASE FORM
click here for Word version of POET TEACHER POETRY RELEASE FORM
click here for PDF of POET TEACHER POETRY RELEASE FORM
California Poets in the Schools
1333 Balboa Street, Suite 3
San Francisco, CA 94118
Phone: 415.221.4201 Fax: 415.221.4301 Email: info@cpits.orgCALIFORNIA POETS IN THE SCHOOLS
STUDENT POETRY RELEASE AGREEMENTTHIS AGREEMENT, effective as of the date indicated below, is by and between CALIFORNIA POETS IN THE SCHOOLS, a California nonprofit corporation ("CPITS"), and ("POET"), a minor child, by and through Poet's parents or legal guardians/ based on the following:
CPITS is a culturally diverse, nonprofit educational program whose mission is to benefit children, poetry, and creative expression; and
POET is the sole, exclusive, and original author of various artistic and creative expressions which may include, but are not limited to, poems, writings, photographs, visual work, and other similar depiction in any form or medium (collectively referred to herein as "Original Work"); and
CPITS desires to publish the POET'S Original Work in the publication and/or production of individual or various projects put forth by CPITS from time to time; and
POET desires that CPITS publish POET'S Original Work in the publication and/or production of individual or various projects put forth by CPITS from time to time; and
NOW THEREFORE, BASED ON THE FOREGOING, THE PARTIES HEREBY AGREE AS FOLLOWS:
1. POET hereby grants CPITS the royalty-free, non-exclusive right to publish POET'S Original Work, or any modifications of the Original Work, in book and web publications and other productions of CPITS's choosing.
2. Except as expressly stated to the contrary herein, POET is the sole owner of any copyrights to POET'S Original Work, and POET retains all rights to reproduce, distribute, perform, or display the Original Work along with all other rights, privileges, and remedies granted or reserved to a holder of a United States Copyright. POET does, however, grant CPITS the right to license others to publish POET'S Original Work, or modifications of the Original work, as a means of carrying out the mission of CPITS, except that all such licenses granted shall be of a non-exclusive nature.
3. If said work is chosen for the anthology, POET will receive a copy of the CPITS Anthology from CPITS as consideration for POET'S grant of rights in the Original Work.
BY SIGNING BELOW, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AGREEMENT AND UNDERSTAND AND AGREE WITH EACH AND EVERY TERM HEREIN.
By:______________________________________________Dated______________,___
Signature of Parent or Legal Guardian___________________________________
Address:_______________________ City _____________________ State _______
Zip_________________ Phone: (__) ________________
CPITS POET TEACHER:
By:"POET"._______________________________________________________________
Address:____________________________________City _____________________
State ___________ Zip__________ Phone: (__)__________________Poem's title:_____________________________________________________________________
*******************************************************************************
California Poets in the Schools
1333 Balboa Street, Suite 3
San Francisco, CA 94118
Phone: 415.221.4201 Fax: 415.221.4301 Email: info@cpits.orgCALIFORNIA POETS IN THE SCHOOLS
POET TEACHER POETRY RELEASE AGREEMENTTHIS AGREEMENT, effective as of the date indicated below, is by and between CALIFORNIA POETS IN THE SCHOOLS, a California nonprofit corporation ("CPITS"), and individual ("POET") based on the following:
CPITS is a culturally diverse, nonprofit educational program whose mission is to benefit children, poetry, and creative expression; and
POET is the sole, exclusive, and original author of various artistic and creative expressions which may include, but are not limited to, poems, writings, photographs, visual work, and other similar depiction in any form or medium (collectively referred to herein as "Original Work"); and
CPITS desires to publish the POET'S Original Work in the publication and/or production of individual or various projects put forth by CPITS from time to time; and
POET desires that CPITS publish POET'S Original Work in the publication and/or production of individual or various projects put forth by CPITS from time to time; and
NOW THEREFORE, BASED ON THE FOREGOING, THE PARTIES HEREBY AGREE AS FOLLOWS:
1. POET hereby grants CPITS the royalty-free, non-exclusive right to publish POET'S Original Work, or any modifications of the Original Work, in book and web publications and other productions of CPITS's choosing.
2. Except as expressly stated to the contrary herein, POET is the sole owner of any copyrights to POET'S Original Work, and POET retains all rights to reproduce, distribute, perform, or display the Original Work along with all other rights, privileges, and remedies granted or reserved to a holder of a United States Copyright. POET does, however, grant CPITS the right to license others to publish POET'S Original Work, or modifications of the Original work, as a means of carrying out the mission of CPITS, except that all such licenses granted shall be of a non-exclusive nature.
3. If said work is chosen for the anthology, POET will receive a copy of the CPITS Anthology from CPITS as consideration for POET'S grant of rights in the Original Work.
BY SIGNING BELOW, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AGREEMENT AND UNDERSTAND AND AGREE WITH EACH AND EVERY TERM HEREIN.
By:_______________________________________________Dated_____________,___
Signature of "POET"_____________________________________________________
Address:__________________City _____________ State _____
Zip____________ Phone: (__) ___________________
Poem/Work's title:____________________________________________________________________________