Rated R Safety Show - Guest Agreement & Release

• The guest does hereby consent to the recording and distribution of reproduction(s) of the Guest's voice and performance as part of the media program entitled “Rated R Safety Show” (herein referred to as the "Program"). This is to confirm that the undersigned has agreed to be interviewed or otherwise participate in the Program, a production of the “Rated R Safety Show”.
• As a condition of publication/broadcast and for no monetary compensation, “Rated R Safety Show” requests the non-exclusive worldwide rights to reproduce, distribute, and sell your oral and/or video presentation, in whole or in part, in any media, as part of this Program published under the auspices of “Rated R Safety Show” and to license these rights to others, in perpetuity. “Rated R Safety Show” shall have the right to edit and/or transcribe your presentation.
• You also grant “Rated R Safety Show” the right to use your name, biography and likeness in connection with the Program.
• You warrant that your presentation is original with you, that publication/broadcast will not infringe on the rights of others, and that you have full power to grant this license. Should your presentation/broadcast incorporate copyrighted materials of others, you warrant that you have obtained such permission from those parties for publication/broadcast by “Rated R Safety Show”, consistent with this Agreement.
• If the foregoing terms are satisfactory, please sign and date this agreement below and return it to the Program coordinator. Execution of this Agreement does not obligate “Rated R Safety Show” to publish your presentation or other materials.
• I hereby consent to the use of my oral and/or video presentation as described and agree with the provisions of this release form.