School For Mothers™ Podcast Guest

Name

First Last

Email

Website URL

Telephone Number

(Just in case of any tech issues)

Twitter profile URL

Facebook page URL

Instagram profile URL

TED talk link (if applicable):

Link to your book (if applicable):

Let's talk pronunciations - let us know *exactly* how to pronounce your name/business name (or anything else..!)

For example, Danusia is pronounced DA-NOO-SHA

How would you like to be introduced?*

For example, Danusia's introduction would be: Entrepreneur, Speaker, Founder of School For Mothers and Mother of Ten.

Are there any topics that you do NOT want to cover in the podcast?

Your short bio:*

Please upload your favourite headshot here*

Professional or high quality images only please. At least 400px by 400px in dimension in JPG, JPEG or PNG format.

Max. file size: 256 MB.

Any documents you want to share that might help during the episode? Upload them here!

E.g. press release, company info

Max. file size: 256 MB.

Would you like to offer a copy/copies of your book for a giveaway to listeners?

A quick note on tech!

We record each episode using Zoom. AUDIO ONLY. Please note we are not able to record on Skype or any other software. Before the recording please make sure you have the following practicalities sorted:

A desktop or laptop (not mobile/smartphone)
Headset/earphones with a microphone
Reliable internet connection

Release Rights*

I agree to this interview, any adaptation of this interview and use of my recorded responses and statements by Danusia Malina-Derben (School for Mothers Podcast/School for Fathers Podcast). I agree to the use of use my picture, voice (including all written or verbal statements), appearance, name, statements, performance, and biographical information (such as my twitter handle) (collectively, my “Publicity Rights”) to be used to advertise, promote or market all or portions of the Podcast and related editions (e.g., compilations, mini-series or best-of).
No, I don't agree to the above.

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Podcast Guest Pre-Recording Form

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