Kundiman Creative Nonfiction Intensive Biographical Form

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    Kundiman Media Release

    I agree to grant to Kundiman, an exclusive, world-wide, royalty-free license, in perpetuity to (i) make and retain for archival, transmission, promotional, and broadcast purposes analog and/or digital audio, photography, and video recordings of the fiction intensive activities in which I participate (each a “Recording”); (ii) include any such Recording or portion thereof in a narrated story or report concerning my performance (each a “Story”); (iii) include any such Recording, Story, or portion thereof in a compilation of performance recordings, stories, or reports (each a “Compilation”); (iv) transmit or broadcast any such Recording, Story, Compilation or portion thereof via the Internet, broadcast television, cable, telephone line, radio, e-mail attachment, or other wired or wireless means in real time or at any later time; and, (v) make any such Recording, Story, Compilation, or portion thereof available for download for use via the Internet, broadcast television, cable, telephone line, radio, e-mail attachment, or other wired or wireless means in real time or at any later time. I further authorize Kundiman to transcribe and utilize my name, likeness, image, voice, and interview as applicable for Kundiman-related online and media products, and any advocacy or promotional tools created. Kundiman may use and authorize others to use all or parts of these recordings and materials. Kundiman, and its successors and assigns shall own all right, title and interest, including copyright, in and to the material to be used and disposed of without limitation as Kundiman shall determine at its sole discretion.
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    Emergency Contact Information

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    Fiction Intensive Attendance Confirmation and Tuition Fee Policy

    I understand that in order to confirm my space at the Kundiman Fiction Intensive, I must send in the non-refundable Tuition fee of $195.
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