Podcast Release Form Today's Date(Required) MM slash DD slash YYYY Your Name(Required) First Last Official title: How would you like to be referred to on the podcast? 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Please provide full URL's.If you have a lead magnet or offer you would like to share with our listeners, please provide (1) The Title, (2) a short description, and (3) the URL where listeners can access it.Brief description of your topic or any information we should know prior to production.Consent(Required) I agree to the podcast release.The above named Guest does hereby irrevocably consent to the recording and distribution of reproduction(s) of the Guest's voice and performance as part of the media program entitled "Stop telling us nothing is wrong" (herein referred to as the "Program"). In consideration of being invited to appear on the Program, Guest does hereby acknowledge that Vitality Consultants, LLC (“Podcaster”) is the sole owner of all rights in and to the Program, and the recording(s) thereof, as “works made for hire” pursuant to 17 USC §101, et.seq., for all purposes; and that Podcaster has the unfettered right, among other things, to use, exploit and distribute the Program, and Guest’s performance as embodied therein in any and all media or formats, throughout the world, in perpetuity. Any materials created in connection with the production and distribution of the Program (“Materials”) become property of Podcaster, and Podcaster shall have the sole and exclusive right to use, exploit and distribute such Materials, throughout the world, in perpetuity. Nothing contained in this Podcast Guest Release shall be construed to obligate Podcaster to use or exploit any of the rights granted or acquired by Podcaster, or to make, sell, license, distribute or otherwise exploit the Program or Materials whatsoever. Guest understands and agrees that he/she shall receive no monetary compensation for appearances on and participation in the Program. Guest's name and likeness may be used in advertising and promotional material for the Program, but not as an endorsement of any product or service. Guest hereby releases and discharges Podcaster from any and all liability arising out of or in connection with the making, producing, reproducing, processing, exhibiting, distributing, publishing, transmitting by any means or otherwise using the above-mentioned production. By checking the consent box and submitting this form I agree to these terms.