Ignite UR Glow's Podcast Guest Speaker Form

Thank you for your interest in becoming a guest on our global show Ignite UR Glow Podcast . A movement where women are empowered on their faith journey of entrepreneurship and personal development. This is where your faith meets empowerment and you have a space to heal, grow and redefine what's possible.

The purpose of our interviews is to bring forth a wave of women who are walking in their healing and transformation who can be a shining light unto those who may be on a similar journey.

We will review your request via teh information provided in this form. A follow up email will be sent out to you with times and dates for the Fall.

Our recording will be scheduled for a 60 minute block via zoom. Our recording will be about 30-45 mins long. Please find a quiet space where you can record on camera. If you have any questions prior to the recording, please contact me at igniteurglow@gmail.com.

Full Name*

First NameLast Name

E-mail*

example@example.com

How did you hear about us?*

How would you like to be introduced? (Example: Jane Hamilton is a 5x bestselling author, loving wife and caring mom to three children.) Up to 150 words. *

What topic would you like to discuss on this episode? Describe the details below. (Testimony, Journey of personal development, spiritual growth, becoming an entrepreneur)*

Tell us about yourself. Who are you? How has God been able to refine you? (Think about your testimony) *

What topics are off limit relating to the information that you have provided? A Describe below.*

How has God influenced your walk in personal and professional development?*

How can the audience connect with you further? (List all social media and websites below)

Anything else you would like to offer.

Upload your headshot (High quality resolution)

Podcast Interview Recording Schedule *

Podcast Guest Release Agreement

By signing below, you (the interviewee) acknowledge and agree to the following terms regarding your participation in a recorded interview for Ignite UR Glow, hosted by Jessica Harris: 1. Grant of Rights You grant Ignite UR Glow and its affiliates, assigns, and licensees the non-exclusive, worldwide, irrevocable, perpetual, royalty-free right to: Record, edit, reproduce, distribute, and publicly display your appearance on the podcast. Use your name, voice, image, and likeness in connection with the promotion, marketing, or monetization of the podcast. Repurpose the content in any format, including but not limited to social media posts, audiograms, video clips, advertisements, and written publications. You waive any right to inspect or approve the final product before publication. 2. Ownership & Copyright All rights, titles, and interests in the recorded content remain the exclusive property of Ignite UR Glow. By signing below, you understand and agree that: You do not own any part of the interview or its distribution rights. You may share publicly released episodes but may not alter, edit, or monetize them without written permission. 3. No Compensation Agreement You acknowledge that your participation is voluntary and that you will not receive financial compensation for appearing on Ignite UR Glow. 4. Liability & Indemnification You are responsible for the statements you make during the interview and agree that: You will not disclose confidential, defamatory, or legally protected information. You release Ignite UR Glow from any claims related to your participation, including but not limited to defamation, misrepresentation, or intellectual property violations. You indemnify and hold harmless Ignite UR Glow from any legal claims, damages, or liabilities resulting from your statements. 5. Right to Decline or Remove Content Ignite UR Glow reserves the right to: Edit the interview for clarity, length, or legal reasons. Withhold publication or remove the episode at any time, without prior notice. 6. Governing Law & Dispute Resolution This agreement shall be governed by the laws of the State of Massachusetts, without regard to conflict of laws principles. Any disputes shall be resolved through mediation or arbitration in Massachusetts, unless otherwise required by federal law. 7. Confidentiality & Professional Conduct By signing below, you agree to: Conduct yourself professionally and respectfully during the interview. Maintain confidentiality regarding any unpublished discussions before, during, or after the interview. 8. Entire Agreement This agreement represents the entire understanding between the interviewee and Ignite UR Glow superseding any prior agreements. No modifications may be made unless in writing and signed by both parties. 9. Agreement to Terms By signing below, you confirm that you have read, understood, and agree to the terms of this release form.