Podcast Guest Release Form

"Be Relentless" Podcast Guest Release Form
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guest hereby grants to the program its affiliates, agents, successors, and assigns the right and permission to record, use, publish, stream live, offer for sale, or otherwise distribute any audio or video interview or session with guest. Such right and permission includes, but it is not limited to the name of the guest, recorded audio or video, photograph or likeness, biographical information, handouts or any material based upon or derived. This grant of permission does not include the release of any of guest’s confidential information. For purposes of the paragraph, ''confidential information'' is defined as home address, email address, telephone numbers or date of birth of guest.
Date

MonthDayYear
Date
Signature

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"Be Relentless" Podcast Guest Release Form