I authorize ________________________________________ to publish photographs, taken on _______________, of myself and/or my work, in print and electronic media including publication on any Society for Creative Anachronism, Inc. Recognized Internet web site, for any non-commercial purposes related to the SCA. This permission is given with no promise or expectation of anything of value in return.
| SCAdian Name (please print) | Modern Name (please print) | Modern Signature | E-mail Address |
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