Off-Balance Podcast- Guest Form

Please complete the podcast guest form followed by scheduling a date for our recording. I am looking forward to our recording date. 
Brief bio for the podcast introduction and episode marketing *
Topics you want to discuss*
Please share any links to past speaking engagements or social media content
Photo/Video Release - I grant permission to The Off-Balance Podcast to reproduce the photographs, video images, and statements I provide for publication*
Please email a photo of yourself to be used for marketing *
How did you hear about Off-Balance *
How can listeners contact you*