Text Reprint Permission Form

    Text Permission Reprint Form

    Your Name:

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    Do you have a medical condition we should be aware of?

    Who to contact in an emergency: name and number?

    Cancellation policy:
    You may cancel your workshop reservation up to 7 days before the event and receive a full refund.
    You may cancel up to 4 days before the event for half a refund.
    We cannot offer a refund for cancelations 3 days or fewer before the event.

    Please give yourself enough time to travel to the farm. Directions are here. Address: 2015 Emory Road, Reisterstown, MD 21136

    I hereby agree to the reproduction of my material described above in the print and electronic versions of Speculative Fiction: A Writer's Guide and Anthology, as well as in all related ancillary or subsidiary material, instructor resource material and promotional materials. This agreement is on condition that the undersigned is duly credited in said book. Bloomsbury Publishing guarantees that the material in the event of publication will only be reproduced in this title, but that this title may be reprinted in English Language editions, and may be sold to co-publishers to print in foreign language editions. Bloomsbury Publishing therefore requires a non-exclusive usage right and license for publication in the above-mentioned book in all its forms, editions, languages and media (including electronic media) throughout the world, and under any imprint for the life of the title.

    Please tick this box if you would like to receive 1 copy of the English Language title in which the material is first published
    I confirm that I am the legal copyright holder.
    Farm Rules:
    1) Please, no pets.
    2) You are free to walk the farm grounds but be aware: as this is a farm, our guests understand that care must be taken while walking anywhere on the property, as there are holes, rocks, uneven floors and pavements, thorns, downed branches and trees, poison ivy & other irritating plants, as well as wild animals, including snakes, insects, and various birds and mammals. Sensible shoes and comfortable clothing are a must. High heels and bare feet are prohibited while on the grounds.
    3) Please do not enter any farm building (other than the School House)
    4) As a guest, you agree to hold the owners free and harmless from any and all liability for claims for damages, or other claims for personal injury while at the farm.
    Question? Message? (Optional)


    I have read and I do accept the terms of attending a workshop at Good Contrivance Farm
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