Skip to content

Interview Consent and Release Form

The Recorded Party hereby grants and authorises Kinetik Medical Devices Limited the right to edit, enhance, crop, alter, modify, amend, copy or otherwise make use of all photos, videos and audio taken of the Recorded Party.

The Recorded Party gives Kinetik Medical Devices Limited the right and permission to publish, reproduce or otherwise use their name, biographical material, voice, and likeness in video, photographs, written materials, and audio recordings. The Recorded Party acknowledges and understands that these materials about or of them may be exhibited, published and/or distributed for both commercial and/or non-commercial purposes.

The Recorded Party understands that this material may be used individually or in conjunction with other media in any medium including, without limitation to print publications, digital publications, and/or public broadcast for any lawful purpose. The Recorded Party grants use and copyright of their material indefinitely with no geographic limitations on where these materials may be distributed.

The Recorded Party hereby acknowledges and grants Kinetik Medical Devices Limited and its employees, other companies and third-party organisations all ownership rights and irrevocable right and permission to use, copyright, publish, distribute, and/or promote the recorded video, photo, interview, and/or audio.

In consideration of the Recorded Party’s services, Kinetik Medical Devices Limited will offer a one-off payment in the form of a £200 Amazon Gift Card. This will be awarded after the return of a signed Interview Consent and Release Form. Excluding the one-off payment, the Recorded Party waives their rights to any compensation, including but not limited to any AdSense revenue, arising from the use of the videos, photos or audio.

The Recorded Party understands that Kinetik Medical Devices Limited can see no risk presently, and that the Recorded Party will take full responsibility for their involvement in this project and the risks that it may entail (be they legal, physical, or mental) and release Kinetik Medical Devices Limited from any claims, demands, losses, damages, suits, and liabilities of any kind whatsoever in connection with the foregoing.

The Recorded Party hereby certifies that they are over eighteen years of age and are competent to agree to the terms outlined in the contract.

If the Recorded Party is under eighteen years of age, their parents or legal guardians will confirm they have read, and understood, this document and have given their consent by ticking the box below.

By ticking the box below, The Recorded Party understands and intends on entering a legally binding contract between themself and Kinetik Medical Devices Limited.  The Recorded Party acknowledges that they have read this contract in its entirety and fully understand the above terms, accepting Kinetik Medical Devices Limited’s one-off compensation offer, in return for full indefinite copyright of their material in correspondence with the terms mentioned above. The Recorded Party hereby releases any and all claims against any person or organization utilizing this material for marketing, educational, promotional, and/or any other lawful purpose whatsoever.

Consent Form

By ticking this box, you are consenting and agreeing to this contract and all terms mentioned above.