The Home of Fertility – Podcast Guest Form

Name

Pronouns e.g. Ms, she/her, they/them

Job Title

Email Address

Phone Number

Time zone and location

Company / Business Name

Website URL : https://

Suggested podcast title

Provide 4-5 questions to ask you about your topic Please add questions you're comfortable answering on the podcast that we can discuss. Keep in mind - this podcast is for people who are interested in health, fertility and beyond.

Share a brief Bio (up to 100 words) Please write your Bio in the third person e.g. Liz Walton is a ..., not I am a ...

If you had a superpower what would it be? Please write about your superpower in the third person

Image Link: https:// Please provide a link to an image of your head! Ensure it's at least 1000x1000 pixels

Which Social Media Links would you like us to share? Please include all links required for Twitter/X, Facebook, LinkedIn and Instagram

Will you be sharing your episode with your audience? How do you usually promote podcast episodes?

I hereby consent to be recorded, wave any claim to publicity or privacy, assign recording intellectual property rights to The Home of Fertility and allow AFS to use the recording for all legal purposes.* I hereby consent to be recorded, wave any claim to publicity or privacy, assign recording intellectual property rights to The Home of Fertility and allow AFS to use the recording for all legal purposes.* Yes. I consent to the above statement