Podcast Guest Release Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
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How do you pronounce your name phonetically?
Organization
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Brief Bio
How would you like to be introduced?
Are there any topics or questions that you would NOT like to be part of our conservation?
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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.
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