Clone of Sinners & Black Motherhood Guest

BE OUR GUEST!

We're choosing five lucky listeners to join us on our Blackest behavior for our LISTENER LOVE EPISODE! Please complete the form below and you could be inside the Black Mama Magic Room!
THURSDAY, NOVEMBER 13th at 1pm, we're opening up the Black Mama Magic Room.

And we have space for FIVE Black mamas to join us for our LISTENER LOVE EPISODE. You'll have the opportunity to go behind the scenes and see our recording process, chat with us during the recording, and share your thoughts and ask us questions about Black Motherhood.

Please complete the form below if you'd like to join us on the Muthaship

A few things you should know:
- YOU MUST HAVE EARBUDS TO PARTICIPATE.
- The recording will take place on Thursday, November 13th at 1 p.m. EST.
- Recordings usually last an hour and a half.
- Deadline to submit: Monday, October 27th, Noon Eastern Standard Time.
- Guests will be notified by SATURDAY, NOVEMBER 1st, 5pm EST.
Full Guest Name*

First NameLast Name
Pronouns
E-mail*
example@example.com
Do you have a microphone?*

YesNo
Do you have access to strong Wi-Fi?*

YesNo
Our podcast is also available on YouTube. Are you comfortable being on camera?*

YesNo
How many children do you have?*
Do you identify as Black woman/femme?*

YesNo
What's your favorite segment?*

Responsive Reading/Ancestor QuoteChurch Announcements/Praise Reports/Prayer List RequestsMac & CheeseBlack Mama Say
How do identify (Check all that apply)*

Creative (content creator, writer, artist, actress, etc.)Working 9 to 5EntreprenuerHealer/Birth Worker/Coach/Mental Health ProfessionalActivist
How you did hear about us?*

Email/NewsletterSocial MediaPodcast EpisodeOther
Anything you want us to share about you? (Business, Non-profit, Podcast, etc.)
Got questions for the Mamas or need advice?
Do you have any topic suggestions for us?
What would you like Dem Black Mamas to do more of and/or less of on and/or outside of the podcast?
Instagram (Please put the entire link to social media, not just the name/handle.)
Ex. https://www.instagram.com/name
GUEST RELEASE

The above named Guest does hereby consent to the recording and distribution of reproduction(s) of the Guest's voice and performance as part of the media program entitled DEM BLACK MAMAS PODCAST (herein after referred to as the "Program") and freely gives a non-transferable perpetual license to use, record, and publish the program.

The Guest understands and agrees that they shall receive no compensation for appearances on and participation in the Program.

Guest's name, likeness, and photograph may be used in connection with the Program, and in advertising and promotional material for the Program, but not as an endorsement of any product or service.

The guest retains the right to all content they created during the program.

If the guest wants to revoke any grant made in this agreement, the guest will send notice to the Host 14 days before revoking.

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.

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.
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Date *
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BE OUR GUEST!