In order to publish an interview on my podcast I need the written consent of the interviewee.  This is the form I am using,  you can review it here and download the pdf here: podcast-consent-form

CONSENT TO PODCAST

  1. I hereby authorize A Varied Life, a division of Accella Group, Inc. (“A Varied Life”), in perpetuity and in its sole discretion, to use, publish, post, display, reproduce, distribute and publicize in any medium or forum now known or developed in the future and to any audience the podcast that I recorded with A Varied Life (the “Podcast”), including my name and, at A Varied Life’s discretion, my website address.

I also hereby authorize A Varied Life to use, publish, post, display, reproduce, distribute and publicize any photograph or other image of me, in perpetuity and in its sole discretion, solely and exclusively in conjunction with A Varied Life’s public display or release of the Podcast.

  1. However, A Varied Life will not publish or otherwise publicly release the Podcast until I have reviewed and approved its content by signing this form.
  2. Once approved by me, A Varied Life will own the Podcast and any related materials created, developed, commissioned or otherwise acquired by A Varied Life I understand that A Varied Life is not paying me for this Podcast and I will not make any claim against A Varied Life or Accella Group, Inc. with respect to its use in accordance with the terms herein.

 

Name (please print) ___________________________________________________

 

Signature: __________________________________________________________