Podcast Consent Form

I hereby grant to the Missoula Children’s Theatre (Get the Show on the Road Podcast) 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 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 Get the Show on the Road 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.

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, alteration, or use 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 to Get the Show on the Road Podcast herein. I agree that during the course of the interview 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 Missoula Children’s Theatre, Get the Show on the Road Podcast, harmless against any such claims.

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

PLEASE FILL OUT ALL APPLICABLE INFORMATION BELOW

Podcast Participant's Name

First Last

ELECTRONIC CONSENT*

Clicking “Agree” indicates that:
• You have read the above information
• You voluntarily agree to participate

I agree

If the participant is under the age of 18, this Consent must be agreed to by a parent or guardian.

Legal Parent/Guardian of Podcast Participant:

First Last

PARENT/GUARDIAN ELECTRONIC CONSENT

Clicking “Agree” indicates that:
• You are the participant's legal parent or guardian
• You have read the above information
• Your child voluntarily agrees to participate

I agree

PLEASE FILL OUT ALL APPLICABLE INFORMATION BELOW

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