The Jodi Show - Guest Intake Form
We're thrilled to invite you to join us as a featured guest on our first season. Please take a moment to provide us with some information to ensure a smooth and successful segment.
Location:
Artists Touch Production studio - 5 Arian Ave. Toronto, On.
Date:
Please select a suitable time for your segment.
Costs:
$0 - Complimentary. Please just bring your expertise and a positive attitude :)
Name
*
First Name
Last Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Company/Organization
Position/Title
Brief Bio
*
Instagram
TikTok
Facebook
Twitter/X
Segment Details
Segment Topic
Segment Description
Please select a preferred time for your taping:
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Alternate Date?:
I'm interested, but I need to be notified if future filming dates
I want to participate in some other way
Other
Headshot:
Browse Files
Drag and drop files here
Choose a file
Please upload a high-resolution headshot of yourself for promotional purposes.
Cancel
of
Logo:
Browse Files
Drag and drop files here
Choose a file
Please upload a high-resolution logo.
Cancel
of
Preparation
Equipment Requirements:
Pre-segment Preparation:
Additional Comments/Questions
Save
Submit
Should be Empty: