Legal Name *

First Name

Last Name

Please Check * By filling out this digital release form, I (Name Listed Above) hereby grant Dream Sugar Cafe permission to use the interview questions and answers, photography or other content submitted in their podcast, including their website & internet postings. I verify that Dream Sugar Cafe has the right to distribute, promote, and publish the people, interview, photos as we see fit. I certify that this work of art is not plagiarized from another source. *

Yes

Please Check * I understand that the interview questions and answers, picture(s) (or other content) I submit to Dream Sugar Cafe may be used in their podcast in print or digitally as well as on their website and other social media and internet postings. *

Yes

Please Check * I understand that by completing this form only allows Dream Sugar Cafe to use my interview questions and answers, photos (or other content) in their podcast, and at no time will Dream Sugar Cafe assume rights to the interview, photos (or other content) themselves, other than me allowing them the right to publish the interview, photos (or other content) submitted and should they then post from the podcast on their website or in internet postings. *

Yes

Please Check * I understand that at no time shall I be paid, re-imbursed, compensated, or given royalties, now or at any point in the future by Dream Sugar Café. *

Yes

Please Check * I hereby irrevocably authorize Dream Sugar Cafe to copy, exhibit, publish or distribute these interview questions and answers, photos (or other content) in their podcast for purposes of publicizing Dream Sugar Cafe on their website or internet postings or for any other lawful purpose. I also give the right for Dream Sugar Cafe to make any necessary edits (i.e. crop/resize .....) to fit the podcast, website, or internet postings. *

Yes

Please Check * I hereby hold harmless and release and forever discharge Dream Sugar Cafe from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on the behalf of my estate have or may have by reason of this authorization. *

Yes

Please Check * I certify that I am or that the person or ALL person(s) answering the questions, or in the photo(s) are at least 18 years of age. If I am under 18 or the people in the photos or answering the questions are under the age of 18, I certify that their parent or legal guardian has given approval. I have read this release and I fully understand the contents, meaning, and impact of this release. *

Yes

Please Check * I affirm that all given statements to the podcast are true. As the provider, I also understand that submissions of content, or completion of release, is not a guarantee if the work submitted does not follow Dream Sugar Cafe criteria. We are a family-oriented faith-based company. We may respectfully decline to publish content that go against biblical teachings. Products, services, or photos with drugs & alcohol, nudity, partial nudity, or any other sexual content will not be submitted. Dream Sugar Cafe has the right to void this contract under any circumstances. If Work is presented, it is the duty of the provider (and not Dream Sugar Cafe) to notify all involved parties of their involvement in the final product. *

Yes

Please Check * I AGREE TO ALL OF THE STATEMENTS IN THIS AGREEMENT *

Yes