Please read the following release agreement carefully. If you agree to the terms, please complete the form below and select “Agree” to confirm your acceptance.

PMA: You can use my voice, photo, and video in whole or in part, now and forever.

As a Guest of the above-named podcast (“Podcast”), I consent to the audio and video recording of my voice, name, and image as part of my appearance on the Podcast. I further consent to the distribution and broadcast of my appearance, including any information and content I provide, by Performance Mindset Associates LLC (“Podcaster”) in audio, video, or text form without restriction.

I further acknowledge and agree:

(a) I will receive no monetary compensation for my appearance, voice, or shared data. The consideration I receive for executing this release shall be the exposure I receive to the audience of the Podcast.

(b) I am granting the Podcaster a non-exclusive, royalty-free, perpetual, worldwide license to publish any copyrighted work I supply as part of my appearance on the Podcast.

(c) I am waiving any intellectual property claims including, but not limited to, trademark and copyright infringement claims, associated with personal or business interests discussed during my appearance on the Podcast.

(d) I am waiving any right to publicity and privacy claims, and agree my name, likeness, and business information may be used by Podcaster in the episode in which I appear and future reproductions as well as the marketing materials supporting the Podcast in general.

(e) That Podcaster is the sole owner of any and all rights to the Podcast, including the episode in which I appear. I further acknowledge and agree that Podcaster has the right to edit the content of my appearance and publish the same in any media now and in the future without first obtaining my approval.

(f) I am releasing the use of any data collected from the intake form or during the podcast to be referenced, licensed, shared, or for other business purposes.

(g) I am releasing and discharging Podcaster together with all of the Podcaster’s principals, shareholders, officers, employees, agents, successors, and assigns from any and all liability arising out of or in connection with my appearance on the Podcast or the subsequent reproduction and distribution of the episode in which I appear in any medium.

(h) I agree to be placed on our podcast marketing list (I may opt out at any time).

By submitting the form below, I confirm that I have read, understood, and agree to the terms outlined in this Podcast Release Form.