Guest Consent Form

I (herein referred to as the “Guest”) hereby grant to FreeCircle / PodCreations / The Selected Network Show/Podcast (herein referred to as the “Show”), their employees, subsidiaries, affiliates, agents, successors, and assigns the right and permission to record, use, publish, stream live, offer for sale, or otherwise distribute any audio and or video interview with me or any employees, subsidiaries, affiliates, agents, successors. Such rights and permission include but are not limited to, my name, recorded voice or video, photograph or likeness, biographical information, handouts, or any material based upon or derived therefrom.


I understand that the Show, at its sole discretion, produces presentations or publications based in whole or in part upon the said audio/video interview (or any portions thereof), audio/video recordings, or photographs of the said interview and that such media or transcripts may appear in print, online, or in any manner of media, including but not limited to promoting the podcast or streaming audio/video program.


I, the Guest, have no right of approval, no claim for compensation, and no claim (including, without limitation, claims based upon invasion of privacy, defamation, or right of publicity) arising out of, or in connection with, any use, alteration, or use in any composite form hereunder. I hereby warrant and represent that I have the right to enter into this agreement and to grant the rights granted to the Show herein.


I agree that during the interview, I have not violated the rights of any third parties, including but not limited to copyrights, rights of privacy, trade secrets, and non-disclosure agreements, and that in the event of any breach of any of these warranties, that I will defend and hold the Show harmless and without indemnity against any such claims.


This release shall be binding upon me and my heirs, legal representatives, and assigns in perpetuity.


If You Agree, Press I Agree Below to Set Your Date And Time