Podcast Speaker Materials

Welcome! I’m thrilled to have you as a guest on the Rebellious Wellness Lifestyle Podcast.

This form gathers the details I need to prepare for your interview, promote you properly, and stay in touch. Please complete and submit it at least 48 hours before your interview.

If you have any questions or don’t have all the requested items yet, no problem—we can add those later. Thanks so much for taking care of this in advance and getting it off your to-do list.

Guest Speaker Name

Guest Speaker Email Address

Phone Number

Mailing Address

Website

Handles of your most active social media profiles

3 questions or prompts that I can use so we cover what’s most important to you

Speaker Intro (2 - 3 sentences to give the audience the juicy bits about who you are)

Link to your head shot image or upload below

Upload your head shot image

Guest Speaker Agreement

By submitting this form, I grant Gregory Anne Cox of Rebellious Wellness Lifestyle permission to record, use, publish, and monetize my name, voice, likeness, words, and participation in this podcast episode and related promotional materials, in any format and on any platform, without compensation. I understand the importance of promoting our conversation and agree to share the episode with my audience via email and/or social media around the time the episode goes live.

Welcome! I’m thrilled to have you as a guest on the Rebellious Wellness Lifestyle Podcast.

Form submitted successfully. Thank you!

Form submitted successfully.
Thank you!