Oh Sh*t, What Now?! Podcast Guest Form
We aim to be authentic and straightforward and supportive of all journeys. To that end, please note that our podcast can go from "PG" to "R" pretty quickly. If that makes you uncomfortable, we totally understand but this might not be a great fit.
Name
*
First Name
Last Name
Organization
Phone Number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Website
LinkedIn
Social media handles
Do you have kids?
Yes
No
If yes, how many?
If yes, what are their ages?
Why do you want to be on the our podcast channel?
*
Topics you want to discuss
*
Please provide a high-resolution headshot to utilize in the podcast promotional materials
Browse Files
Cancel
of
How can you promote the podcast episode?
Instagram
LinkedIn
Facebook
Email distribution
Are you a member of any of the following communities?
Female Founder Collective/10th House
The Upside
Dreamers & Doers
By agreeing to be a guest, you 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 entitled “Oh Sh*t, What Now” (herein referred to as the "Program"). Guest does hereby acknowledge that dk east media (“Podcaster”) is the sole owner 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 that Podcaster has 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 Podcaster, and Podcaster shall have the sole and exclusive right to use, exploit and distribute such Materials, throughout the world, in perpetuity. Nothing contained in this Podcast Guest Release shall be construed to obligate Podcaster to use or exploit any of the rights granted or acquired by Podcaster, 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 Podcaster 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. Please indicate your consent by clicking YES below
*
Yes
Anything you want to add?
Please verify that you are human
*
Submit
Should be Empty: