Pandora's Awareness Podcast

Thank you for agreeing to be a guest on the show. Our schedule can be a bit tricky, so we want to ensure you have no confusion when filling out the short survey. This will help us keep track of our guests and the times available.

Based on your selection of the day of the week, you will receive an email with some available date options. You can then confirm your preferred date, and we will synchronize our calendar to go live and share your stories.

This is going to be so much fun. 'We are the stories that make us up.' Your story matters, and by sharing it, we get to empower others while finding deeper meaning in our own stories.

First Name *

Last Name *

Phone *

Email *

Choose one of the themes you want to make an appearance on the podcast to talk about. *

Based on the theme and the day of the week you've selected, tell us about the experience you wish to share with the audience: *

Share your social media and website links *

Upload your promotion photo or headshot *

Podcast Release Waiver In exchange for the consideration I acknowledge, I hereby consent to the recording of my statements and grant Asher & Lavinia ("Host") and their assigns, licensees, and successors the right to copy, reproduce, and use all or part of the statements (the "Interview") for inclusion in the Pandora's Awareness Podcast. I permit the use of all or part of the Interview in the Podcast in all forms and media, including advertising and related promotion, throughout the world and in perpetuity. I grant the right to use my image and name in connection with all uses of the Interview and waive the right to inspect or approve my Interview as incorporated in the Podcast. I release the Host and their assigns, licensees, and successors from any claims that may arise regarding the use of the Interview, including any claims of defamation, invasion of privacy, infringement of moral rights, rights of publicity, or copyright. I acknowledge that I have no ownership rights in the Podcast. The Host is not obligated to utilize the rights granted in this Agreement. I have read and understood this agreement, and I am over the age of 18. This Agreement expresses the complete understanding of all parties. Do you agree with the statement above (podcast release waiver)? *

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