My Loving Spoonful

 

My Loving Spoonful

                                                                                                          

Authorization and Release Form

 

I hereby authorize and grant to Darlene Conrad, her legal representatives, heirs, assigns, and those acting in pursuant to her authority and permission (hereinafter referred to as “Darlene Conrad”) the irrevocable and unrestricted right:

A.      To record my likeness and voice on a video, audio, photographic, digital, electronic or any other medium;

B.      To copy and disseminate any recipe(s) which I have provided to Darlene Conrad;

C.      To tell, share, publish, and otherwise disseminate in any manner or medium, any story, recollection, narrative or other anecdote (collectively “Stories”) which I share with Darlene Conrad, and license her to alter, dramatize or otherwise use artistic license in retelling the same;

D.      Unless otherwise reserved below, to use my name and / or likeness of me in connection with these recordings and / or recipe(s);

E.       To test, edit and modify the recipe(s) as Darlene Conrad deems appropriate, with a full understanding the neither the recipe(s) nor any recording is guaranteed to be used, published or disseminated by Darlene Conrad;

F.       To use and publish, to copyright and trademark the recipe(s) and / or photographs (s) and / or likeness of me and / or my name is association with any recipe (s) and / or photograph(s) and / or likeness of me or in which I may be included, for editorial trade, advertising, publication and any other purpose and in any manner and medium, print or digital; and to alter the same without restriction.

G.     To use, reproduce, exhibit, distribute or sell, in any manner and medium (e.g. print publications, video tapes, CD-ROM, internet/WWW, et.) these recordings and recipes for any purpose that Darlene Conrad deems appropriate, including any promotional or advertising efforts.           

 

I represent, warrant, and covenant that my recordings, stories and / or recipe(s) are personal to me and do not violate or infringe in any way upon the rights of others, including, but not limited to, any copyright, trademark, patent, trade secret, moral right, or other intellectual property, personal, contractual, proprietary or other third party right of any person or entity.

 

I release Darlene Conrad, her legal representatives, heirs, assigns and those acting pursuant to her authority from liability for any violation of any personal or proprietary right I may have in connection with the use of my voice, likeness, stories or recipe(s).  I understand that all such recordings and / or recipes, in whatever medium, shall remain the property of Darlene Conrad.

 

Submit Recipe
First Name:
Last Name:
Email: *
    I authorize you to use my real name in connection with any publication and / or dissemination as outlined above of the foregoing. I have read and fully understand the terms of this Authorization and Release form.: Please print your name here.
    Write a two paragraph story about the original person. When do you first remember this recipe? How old were you when you were taught how to make it? Is it for special occasions?  What were the circumstances that you have, or are now, making it for them? Any special traditions? Do you have a funny story about this recipe? Write something that tells a story that would make a reader feel happy or will be able to relate to. Write something that gives the reader a good feeling.
Name of recipe:
    Ingredients of recipe. please list in order of use. Please list  the number of ounces (if available) of items needed for recipe.
directions:
    Please print the name of the person submitting the recipe and paragraph: (the person who is now, or has made the recipe for the original person) example: the granddaughter submitting the grandmothers recipe.:
The address of the person who is submitting the recipe:
City of person submitting the recipe:
State of person submitting the recipe:
zip code:
phone number of person submitting the recipe:
What is the person's name that you are submitting a picture of (origin of recipe):
City of originating person:
state of originating person:
Name of anyone else in the picture and how related to you or the submitter.
phone number of originating person if available:
    The name of person or persons, in additional picture if any (may submit two pictures), person in kitchen, cooking, teaching, ect.: