Appendix C

PHOTOGRAPHY RELEASE FORM
By filling out and submitting this form you hereby acknowledge that this Photography Release
Form (hereinafter referred to as "Form") became effective on the date of submission.
I hereby authorize San Joaquin Valley Writers to edit, change, copy, and make any use of all
photographs of me to be used for promotional materials related to the Great Valley Stories Anthology and its promotion as long as the Anthology is in publication.
I hereby acknowledge that I will not be entitled to payment or any sort of charge for such
action.
I authorize the use of my photograph for, but not limited to, publication on the internet,
magazines, journals, books, articles, etc., provided that it is done for lawful purposes.
I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes
of action by me or my representatives, heirs, or anyone else.

If this is a professional photograph a form will need to be submitted by the Photographer and the Client

Furthermore, I hereby waive my right to any royalty or any other compensation with regard to
the usage of the photos referred to in this Form.