Radio Release Form

IN THE NOW
RADIO SHOW SPEAKER RELEASE FORM TERMS

In connection with my speaking engagement for the In The Now 105.5 Radio show with Brandon Hintz & Mike Driggers, I, the undersigned, hereby grant Brandon Hintz & Mike Driggers (Event Organizer(s)) and/or their assigns the right to broadcast and/or record my image, voice, and/or performance, referred to herein collectively as the “recordings,” and to use materials and graphics that I have created, referred to herein collectively as the “materials,” and to freely adapt, reproduce, distribute, digitally transmit, publicly perform, and publicly display such materials and recordings in all or in part in any form or format, including without limitation, through the Internet, intranets, CD-ROM, DVD, film, videotape, audio tape, and any other technologies whether not known or developed in the future.