Podcast Guest Application Form

Thank you for your interest in being a guest on our podcast

First name

Last name

Email

Stage or Company name

Phone

Address

Business Website or Social Media Link

Type of Industry

Your BRIEF bio (max 4 sentences please):

Is there a specific product/service/event you'd like to promote during the show? *

Please provide a high-resolution headshot to utilize in the podcast promotional materials.

How do you prefer join?

In-person

Virtually

I hereby voluntarily and without compensation authorize voice recording(s) to be made of me. I hereby give permission to S'D'K Shop to use, reproduce, and distribute the voice recordings, including my name and submitted photo(s).

I hereby agree to release S'D'K Shop from any claims, damages or liability arising out of such use or distribution. I understand that the use of my name, likeness, and voice recordings will be primarily for the purposes of commercial use, education and/or promotion by this organization.

I have read and understand the foregoing and I consent to the use of my picture and/or voice as specified for the above-described purpose(s). I further understand that no royalty, fee or other compensation of any character shall become payable to me.

Signature

Date