Real Recovery Podcast Release Form - Real Recovery with Julie and Peter: Your Home for Sobriety Stories

Real Recovery Podcast Guest Release Form

Guest Name *

First name or alias and last Initial is fine

Email *

Would you like to remain Anonymous? *

Yes

No

Please check yes if you wish to remain anonymous.

Phone Number

Agreement:

I hereby give my permission to the Real Recovery Podcast to use my voice, name (unless anonymous), image (if applicable), and content shared during the episode. I understand that I will not receive any compensation for my participation and hereby release any claims against the podcast related to my participation. I have read this release form and fully understand its terms. By signing below, I consent to the conditions outlined in this agreement. Please enter your first name or allies and date of birth (or sobriety date) *

Please type your first name or allies and sober date or birthdate. This will represent your consent.

Notes