New Mommy Media                                      Guest Release and Agreement
I, the Undersigned,  do hereby consent to the recording and broadcast or other distribution  of reproduction(s) of my voice, photograph, likeness and performance as part of my participation as a guest on one or more podcast episodes produced by New Mommy Media. (the “Program”).

I hereby acknowledge  and agree:

1.  New Mommy Media (“Producer”) is the sole owner of all rights in and to the Programs, and the recording(s) thereof  as a Work Made For Hire within the meaning of the United States Copyright Act, for all purposes; and has the right, among other things, to distribute the Programs one or more times by any medium or mode of transmission whatsoever, throughout the world, in perpetuity.
 
2.  I will receive no compensation for my appearances on and participation in the Programs.

3.  I hereby waive the opportunity or right to inspect or approve the content of the Programs.

4.  My name and likeness may be used in advertising and promotional material for the Programs, but not as an endorsement of any other product or service.

5.  I hereby release and discharge Producer together with all of Producer’s  principals, shareholders, officers, employees, agents, successors, heirs, assigns and  affiliates 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.

6.  I am eighteen years of age or older, that I am fully competent to execute this agreement, and that no other agreements currently exist which would prevent my transferring these right to you, or your successors and assigns.  I acknowledge that you intend to rely on this release, and the grant of rights herein contained, and shall incur significant costs in production of the referenced work in reliance upon same.  As a result, I agree not to institute any legal action to contest the rights conveyed to you herein.
Sign in to Google to save your progress. Learn more
Recording Date *
MM
/
DD
/
YYYY
Today's Date *
MM
/
DD
/
YYYY
Electronic Signature *
By typing my full name below, I acknowledge that I have read and understand the contents of this release and am executing same of my own free will.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy