Authorization and Release for Submitted Work
-must be included with all submissions-
By signing and submitting this form, I represent and warrant that I am the sole owner and original author and copyright owner of the accompanying original work of authorship for at least one of the following categories: literary work, musical work, dramatic work, choreographic work, pictorial work, audiovisual work, and sound recording (“Work”) submitted and that I acknowledge that I am an individual of at least 18 years of legal age and I have the full right, title and authorization to submit the Work to Overeaters Anonymous, Inc. (“OA”) for publication in an OA publication. I warrant that this Work is original and does not infringe the rights of any other party. No part of the Work violates any copyright, moral right or other right of any third party; all graphic, photographic, image-related elements and music of the Work are used with permission of any person or entity with rights therein. I authorize OA to edit/crop, copy, distribute, publish, reproduce, or copyright the Work for any lawful purpose.
In consideration of the acceptance of the above Work for publication and other good and valuable consideration, receipt of which is hereby acknowledged, I grant a perpetual non-exclusive license to OA of all my rights, title, and interest in and to the copyright in the Work not limited to any format (audio, print, electronic text, etc.), and all its graphic, photographic and image-related elements, including without limitation, all moral rights therein; and the nonexclusive rights of use, reproduction, modification, distribution, expansion, performance, display, digital transmission, and creation of derivatives of the Work, in any manner and media in whole or in part throughout the world or the known universe in perpetuity; the same to be held and enjoyed by OA and successors, assigns, or other legal representatives. I further acknowledge that OA may (i) make any modifications to the Work, which, in its sole judgment, it determines ought to be made; and (ii) publish or not publish the Work. I also hereby disclaim and waive the exercise of any and all of my moral rights in the Work against OA and its permitted licensees.
By submitting my Work to OA, I understand that it becomes the property of OA and may be used in any type of distribution media. I agree that I will make no monetary or other claim against OA for the use of the Work. I waive any right to inspect or approve the finished product wherein my Work appears.
I hereby warrant and represent that the statements contained in this Agreement are true. I hereby indemnify and agree to hold OA and its permitted licensees harmless from all claims, liabilities, loss, injury, or damages (including outside attorneys’ fees) arising directly or indirectly out of any claim, action, or proceeding based upon an alleged violation of the foregoing warranties and representations. I hereby hold harmless and release OA from all claims, demands, and causes of action that I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I have read the authorization, release, and indemnification and give my consent for the use and license of the Work as indicated above.