Informant Release Form
I,______________________________, hereby contribute my interview or folklore item to ______________________________, (collector–please print name) to the Jack Horntip Collection (hereinafter "JPC"). I understand that one purpose of the JPC is to accession, preserve and make available the folklore item(s) or collections of USU students in folklore courses and that the items deposited are added to the permanent collection of the JPC. The deposited materials may be used for scholarly and educational purposes and may be duplicated. I understand that JPC plans to retain the product of my participation as part of its permanent collection and that the materials may be used for exhibition, publication, presentation on the World Wide Web and successor technologies, and for promotion of the institution and its activities in any medium.I hereby grant to the JPC ownership of the physical property delivered to the JPC and the right to use the property that is the product of my participation (for example, my interview, performance, photographs, and written materials) as stated above. By giving permission, I understand that I do not give up any copyright or performance rights that I may hold.
I also grant to the JPC my absolute and irrevocable consent for any photograph(s) provided by me or taken of me in the course of my participation in the interview or folklore item to be used, published, and copied by the JPC and its assignees in any medium.
I agree that the JPC may use my name, video or photographic image or likeness, statements, performance, and voice reproduction, or other sound effects without further approval on my part.
I release the JPC, and its assignees and designees, from any and all claims and demands arising out of or in connection with the use of such recordings, documents, and artifacts, including but not limited to, any claims for defamation, invasion of privacy, or right of privacy.
ACCEPTED and AGREED
Signature ______________________________________________________________ Date _____________________
Printed Name ____________________________________________________________________________________
Signature of Parent or Guardian (if interviewer is a minor)_______________________________ Date_________________
Address ________________________________________________________________________________________
City ______________________________________________ State ___________________ ZIP _________________
Telephone (_____) _______________________________
Restrictions:
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Thank you for participating in the
Central California
Folklore Archives' collection project. By signing this form, you
give your permission to include the collected materials (for example:
tapes, photographs, documents, transcripts or interview notes) in a
public archive, where they will be available to researchers and the
public for scholarly and educational purposes, including publications
and exhibitions. By giving your permission, you do not give up any
copyright or performance rights that you may hold. The collector(s) and
the informant(s) retain the right of free access to the collection
through normal procedures of the Collection and its personnel.
I, ____________________________________________, hereby
(Informant -- please print name)
contribute and release my materials
identified as
________________________________
(item or collection number(s) --
please print)
and my interview with ____________________________________
(Collector -- please print)
conducted on
__________________________________ to the Central California Folklore
Archives. I agree to the uses of these materials described above with:
( ) No further restrictions ( ) Certain further restrictions (see below):
(If none are listed, it is assumed there are no restrictions.)
Signature ________________________________ Date_______________
Permanent address (and telephone number) through which you could
be reached:
The Jack Horntip Collection is used by students and scholars, who may duplicate archived material and may quote it in published form with the permission of the Archives. Scholars using archived material in their studies, research, and publications must agree to give proper credit to the collector, informant, and the Archives, or to protect the anonymity of both collector and informant.
INFORMANT RELEASE FORM
I, _____________________________, am a participant in the ___________________________ project, (hereinafter "project"). I understand that the purpose of the project is to collect audio- and video-tapes and selected related documentary materials (such as photographs and manuscripts) that may be deposited in the permanent collections of the Jack Horntip Collection. The deposited documentary materials may be used for scholarly, educational, and other purposes. I understand that the _________________ plans to retain the product of my participation as part of its permanent collection and that the materials may be used for exhibition, publication, presentation on the World Wide Web and successor technologies, and for promotion of the institution and its activities in any medium.
I hereby grant to ___________________________ ownership of the physical property delivered to the institution and the right to use the property that is the product of my participation (for example, my interview, performance, photographs, and written materials) as stated above. By giving permission, I understand that I do not give up any copyright or performance rights that I may hold. I also grant to ________________________ my absolute and irrevocable consent for any photograph(s) provided by me or taken of me in the course of my participation in the project to be used, published, and copied by ___________________________ and its assignees in any medium.
I agree that _________________________ may use my name, video or photographic image or likeness, statements, performance, and voice reproduction, or other sound effects without further approval on my part.
ACCEPTED AND AGREED
Signature _________________________________ Date ____________
Printed name ______________________________________________
Address
____________________________________________________
______________________________ Zip ___________— __________
Telephone
( ) ________–__________
Fax ( ) ________–__________
Email
____________________________
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