What is your full name?(Required) First Last What is your email address?(Required) Please provide a brief biography!(Required)Please share 1-3 topics you would like to speak to my audience about!(Required)Do you have a program or product you would like to promote? If so, please provide a brief description and any associated links.(Required)As part of the podcast promotion, I will ask you to share the podcast on your social media platforms the week of release and in return, I will promote you as the guest speaker. I will ask for a professional picture to share to help with promotion.(Required) Yes, I agree No, I do not agree Please upload a headshot photo(s) for marketing. Size should be at least 800x800 px. Note - you will need a free Google account to upload. Please email customer.success@purfitstudio.com for help. Drop files here or Select files Max. file size: 32 MB, Max. files: 3. What is your Instagram Handle?(Required) What is your FaceBook URL? What is your website URL? What is your podcast name and URL? Podcast Guest Agreement and Release(Required)I do hereby agree, consent to and grant to the Producer (Metabolic Fix Inc.) hereunder all rights related to the recording and broadcast or other distribution of reproduction(s) of my voice, photograph, likeness and performance as part of my participation as a guest on the audiovisual program entitled Cheers to Your Success! (the “Program”). I hereby acknowledge and agree: The Producer is the sole owner of all rights in and to the Program, and the recording(s) thereof, together with any materials prepared for the Program (“Materials”). The Producer has the unfettered rights, among other things, to use, promote and distribute the Program one or more times in any and all media or formats and modes of transmission whatsoever, through-out the world, in perpetuity. I will receive no compensation for my appearances on and participation in the Program. I hereby waive the opportunity or right to inspect or approve the content of the Program. Nothing contained in this Podcast Guest Agreement and Release shall be construed to obligate Producer to use or exploit any of the rights granted or acquired herein, or to make, sell, license, distribute or otherwise use the Program or Materials whatsoever. My name and likeness may be used in advertising and promotional material for the Pro-gram, but not as an endorsement of any other product or service. I hereby release and discharge Producer, together with all of Producer’s principals, share-holders, officers, employees, agents, successors, heirs, assigns and affiliates from any and all liability arising out of or in connection with the making, producing, reproducing, processing, exhibiting, distributing, publishing, transmitting by any means or otherwise using the Program and Materials. I am eighteen years of age or older, I am fully competent to execute this agreement, and no other agreement(s) currently exist which would prevent my transferring these right to the Producer, or successors and assigns. I agree not to institute any legal action to contest the rights conveyed to you herein. I understand that by submitting this form, I acknowledge that I have read and understand the contents of this release, I am executing same of my own free will, and that submission of the form is equivalent to physical signature and is legally binding. I have read, understood, and agree to the above Podcast Guest Agreement and Release. Δ