Grant.
For consideration which I acknowledge, I consent to the audio recording of my statements and grant to FIX YOURSELF FIRST WITH DR. KRISTIE PODCAST (“Company”) and Company’s assigns, licensees, and successors the right to copy, reproduce, and use all or a portion of the statements (the “Interview”) for incorporation in the following work podcast, social media, website, and marketing (the “Work”).

I permit the use of all or a portion of the Interview in the Work in all forms and media including advertising and related promotion throughout the world and in perpetuity. I grant the right to use my voice in audio recording and name in connection with all uses of the Interview and waive the right to inspect or approve use of my Interview as incorporated in the Work.

Release.
I release Company and Company’s assigns, licensees, and successors from any claims that may arise regarding the use of the Interview including any claims of defamation, invasion of privacy, or infringement of moral rights, rights of publicity or copyright. I acknowledge that I have no ownership rights in the Work. Company is not obligated to utilize the rights granted in this Agreement. I have read and understood this agreement and I am over the age of 18.

Acknowledge.
Submission of consent does not guarantee that any question to or conversation with Dr. Kristie will be featured on FIX YOURSELF FIRST WITH DR. KRISTIE. It is at the sole discretion of the Company as to what will be accepted and used on the show.

This Agreement expresses the complete understanding of the parties.

All areas must be completed.