Chaffey Review Submission Form

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Name of School: Chaffey Community College District

Name of Project: Chaffey Review literary and artistic journal

Names of Faculty Members: Arthur Kayzakian

STUDENT RELEASE

I agree to allow Chaffey College and/or its agents to publish my artwork, written materials and/or other works created by me in connection with the Project (altogether, "Works"). In addition, although I retain the rights to the Works, I hereby grant Chaffey College, its agents and assigns a worldwide, perpetual, irrevocable, non-exclusive right to edit, make derivative works of, digitize, transmit, broadcast, publicly display, publicly perform, copy and distribute the Works or any portion thereof and use my name and likeness, throughout the world, in all media now known or hereinafter discovered, as part of the Project and in advertising and publicity for the Project. Finally, I hereby release Chaffey College, its agents, employees, licensees and assigns from and against any and all claims which I have or may have in the future arising out of the production, distribution, publication, broadcast or exhibition of my name or likeness or the Works as permitted by this release.

To the best of my knowledge, the Works are original and owned by me. The rights I have granted to Chaffey College hereunder do not and will not violate any right of any third party. I shall, at my expense, defend, hold harmless, and indemnify Chaffey College and its employees and agents against any claim or suit against Chaffey College that Chaffey College 's use of the Works infringes a third-party copyright or other intellectual property.

I acknowledge that I am not being paid to sign this release and I understand that this release does not obligate Chaffey College to use any of the Works.