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Guest Application Form

Please provide a high-resolution headshot to utilize in the promotional materials. Email at

Media/Audio release

I hereby voluntarily and without compensation authorize visual & voice recording(s) to be made of me. I hereby give permission to DuboisBizStrategies to use, reproduce, and distribute the visual & voice recordings, including my name and submitted photo(s). I hereby agree to release DuboisBizStrategies from any claims, damages or liability arising out of such use or distribution. I understand that the use of my name, likeness, and voice recordings will be primarily for the purposes of commercial use, education and/or promotion by this organization. I have read and understand the foregoing and I consent to the use of my picture and/or voice as specified for the above-described purpose(s). I further understand that no royalty, fee or other compensation of any character shall become payable to me.

Thanks so much for your request ! I'll be in touch soon

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