First Name* Last Name* Profession and Business Name Email* Upload your Headshot* How would you like to be introduced on the show? please provide a short paragraph (bio) that I can read for the recording.* I prefer conversational, non-scripted interview. But are there specific topics or talking points you'd like to discuss? Provide bullet points here.* What lesson or message would you like my audience to walk away with?* Any topics you prefer not to discuss?* What is one question you wished you were asked more often?* As a guest on Ayahuasca Podcast, I consent to the audio and video recording of my voice, name, and image as part of my appearance on the Podcast. I further consent and agree to the distribution and broadcast of my appearance, including any information and content I provide by Ayahuasca Podcast in audio, video, or text form to produce and edit for future use in speeches, books and in other public distributions without intellectual property constrictions. Send
