PODCAST GUEST RELEASE FORM

_________________________ (hereafter referred to as “Guest”) grants permission to The Origami Show Podcast (hereafter referred to as

“Broadcaster”), to broadcast the recorded interview content over the air and over the internet, through any and all podcast platforms free of

commissions and/or royalties payable to guest.

PROGRAM: The Origami Show Podcast created by Tinygami LLC

GUEST: _______________________________________________________________
(Please Print Your First and Last Name)

RESIDENTIAL ADDRESS: ____________________________________________________________

CELL PHONE: _________________________________________________________


LAND LINE PHONE: _________________________________________________________

EMAIL ADDRESS: ______________________________________________________

I hereby grant to Tinygami LLC (The Origami Show) their subsidiaries,

affiliates, agents, successors, and assigns the right and permission to record, use, publish,

stream live, offer for sale, or otherwise distribute any audio or video interview and/or session

with me. Such right and permission includes, but is not limited to, my name, recorded voice or

video, photograph or likeness, biographical information, handouts or any material based upon or

derived therefrom.

I understand that The Origami Show Podcast may, at its sole discretion, produce

presentations or publications based in whole or in part upon audio interview (or any portions

thereof) and/or a video or audio recordings or photographs of said interview, 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. The Origami Show Podcast

shall have the right to edit and/or transcribe your session and/or interview.

I have no right of approval, no claim for compensation, and no claim (including, without

limitation, claims based upon defamation) arising out of or in connection with, any use,

alteration, or use in any composite form hereunder.

I hereby release and discharge The Origami Show Podcast together with all principals,

shareholders, officers, employees, agents, successors, heirs, assigns and affiliates from any

and all liability arising out of or in connection with the program, the session, the making,

producing, reproducing, processing, exhibiting, distributing, publishing, transmitting by any

means or otherwise using the above mentioned production.

I hereby warrant and represent that I have the right to enter into this agreement and to grant the

rights granted to The Origami Show Podcast herein. I agree that during the course of the

interview and/or session I have not violated 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 The Origami Show Podcast harmless against any such claims.

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

This agreement shall be deemed to have been entered into in the state of Michigan and it’s validity, construction, performance, breach and

operation shall be governed by the laws of that state. Should any portion of this agreement be found to be invalid or unenforceable, it shall not

affect the balance of 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 Tinygami LLC to broadcast or publish your session or other materials.

AGREED AND ACCEPTED by Guest:

Your Name: ___________________________________________________________

Date:_________________________________________________________________

Agreed by Program Coordinator, The Origami Show Podcast and Owner, Tinygami LLC

Name: Stacie Tamaki

Date:_________________________________________________________________

The Origami Show Podcast is created by

Tinygami LLC, PO BOX 473, Greenville, MI 48838. (408)-747-9334.