CHOOSE TO PREVAIL Video Series Response Form

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In order to be considered as a guest, you must have read Choose to Prevail by Sandy Rodriguez, the book the series is based on. It is widely available on all major internet platforms.

Name *

Phone *

Email *

Explain your experience that will be relevant to the interview, if selected (be detailed!): *

In order to be considered as a guest, you must have read Choose to Prevail by Sandy Rodriguez, the book the series is based on. It is widely available on all major internet platforms. Have you read the Choose to Prevail book? *

Yes

Other:

Did you implement any of the ideas in this book in order to overcome a challenge? *

Have you reviewed Choose to Prevail on Amazon? If so, under what name may we find your review? *

If you are chosen for this video series, which will be streamed for subscribers to the www.heartofhollywoodcinema.com platform, what will you do to help promote the episode on which you are a guest? (e.g. social media, e-mail newsletter, etc.): *

I, the assigned Guest, do hereby irrevocably consent to the recording and distribution of reproduction(s) of the Guest’s voice and performance as part of the media program with the working title “Choose to Prevail” (herein referred to as the “Program”).Guest does hereby acknowledge that Heart Of Hollywood Motion Pictures LLC and producer Sandra Rodriguez are the sole owners of all rights in and to the Program, and the recording(s) thereof, as “works made for hire” pursuant to 17 USC §101, et.seq., for all purposes; and they have the unfettered right, among other things, to use, exploit and distribute the Program, and Guest’s performance as embodied therein in any and all media or formats, throughout the world, in perpetuity. Any materials relating to the production and distribution of the Program (“Materials”) become property of Heart Of Hollywood Motion Pictures LLC and producer Sandra Rodriguez, and Heart Of Hollywood Motion Pictures LLC and producer Sandra Rodriguez shall have the sole and exclusive right to use, exploit and distribute such Materials, throughout the world, in perpetuity.Nothing contained in this Guest Release shall be construed to obligate Heart Of Hollywood Motion Pictures LLC and producer Sandra Rodriguez to use or exploit any of the rights granted or acquired by them, or to make, sell, license, distribute or otherwise exploit the Program or Materials whatsoever.Guest understands and agrees that he/she shall receive no compensation for appearances on and participation in the Program.Guest’s name and likeness may be used in advertising and promotional material for the Program, but not as an endorsement of any product or service.Guest hereby releases and discharges Heart Of Hollywood Motion Pictures LLC and producer Sandra Rodriguez from any and all liability arising out of or in connection with the making, producing, reproducing, processing, exhibiting, distributing, publishing, transmitting by any means or otherwise using the above-mentioned production. *

Yes

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