[Award Name]



[Award Name]

Name of the competition

Entrant

Project

Photography Release and Submission Form:  To Accompany Images Submitted to a Design Competition Sponsored by an Editorial Organization: Magazine or Book Publisher.

I grant the entrant the right to submit my copyrighted images to [the name of the competition]. The [sponsoring organization] has limited rights to use not more than two images of a winning entry for one year in a presentation at the awards ceremony and on their website. The [sponsoring organization] may also use no more than two images of a winning entry for editorial publication in the sponsoring magazine and those same images for general press release to announce this year's award and to publicize the awards for a period of one year. Permission is required for any other use.

Copyright and credit line information is to appear adjacent to each reproduced/distributed image:

________________________________________________________________

Credit Line and Copyright Information

For online use, credit is to include a link to the photographer website as shown below:

_____________________________________________________________

To license additional images or inquire about other use, contact:

________________________________________________________________

Name of the photographer or agent

________________________________________________________________

Email Address

________________________________________________________________

Phone Number

I acknowledge that all copies of the photographs submitted in connection with this entry may remain the property of the [sponsoring organization] but that all rights are reserved including the copyright and subsequent licensing to the photographs, except that which is indicated above. By submitting this Release and Submission Form, I represent that I have obtained all permissions that I believe are necessary to grant the limited rights included in this Form and that the use or reproduction by [the sponsoring organization} as permitted shall not, to the best of my knowledge, information and belief, infringe or violate any other rights. I agree to indemnify and hold harmless the [sponsoring organization] from and against all claims or damages arising out of any breach or these representations. [sponsoring organization] agrees to indemnify me and hold me harmless from and against all claims or damages arising out of its use of these images.

Copyright Owner's Signature:_____________________________________________

Print Name:___________________________________________________ Date:________________________

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In order to avoid copyright disputes, this page is only a partial summary.

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