Printed Name:_______________________________
Signature:__________________________________
Date:_____________
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| Copyright Clearance | |||||||||||||||||||
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| All films must have copyright clearance for any materials used in the film. Even if the materials were created for the film, a clearance form must be filled out. If the filmmakers created the materials, they should fill out the form as the artists. This form MUST be printed, signed by the artist who created the work used in the film, and submitted with the film itself.. | |||||||||||||||||||
| Artist | |||||||||||||||||||
| Title of Work | |||||||||||||||||||
| Title of Film | |||||||||||||||||||
| I, _____________________, creator of the work _______________________ give permission to ___________________________ to use creation in the film ___________________________, and in any way that this film may be screened or distributed. Printed Name:_______________________________ Signature:__________________________________ Date:_____________ |
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