Release Form

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AUTHORIZATION FOR USE OF VOICE AND/OR LIKENESS

I hereby grant Psych Sessions Podcast, its subsidiaries, affiliates, agents, successors, and assign the right and permission to record, use, publish, and copyright an interview conducted with me. Such right and permission includes, but is not limited to, my name, recorded voice or video, photograph or likeness, biographical information, or any material based upon or derived there from.

I understand that Psych Sessions may, at its sole discretion, produce presentations or publications based in whole or in part upon audio, video and text material I hereby submit, and that such media or transcripts may appear in print, online or in any manner or media, including but not limited to promoting the podcast or streaming audio program.

I have no right of approval, no claim for compensation and no claim (including without limitation claims based upon invasion of privacy, defamation, or right of publicity) arising out of or in connection with any use, alternation, or in any composite form hereunder.

I hereby warrant and represent that I have the right to enter into this agreement and to grant the rights granted to Psych Sessions herein. I agree that the material submitted to the podcast does not violate the rights of any third parties, including but not limited to copyrights, rights of privacy, trade secrets and non-disclosure agreements, and that in the event of any breach of any of these warranties, that I will defend and hold Psych Sessions harmless against such claims.

This release shall be binding upon me and my heirs, legal representatives, and assigns.

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