Fractured Not Broken Podcast Guest Form 

    ​​Thank you for your interest in being a guest on the podcast. Please take a moment to fill out this short form so we can learn more about you. The information you provide will help to determine if you and your messaging are aligned with our goals to transform how we show up and participate in relationships.
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    Note: In-studio recordings: for Fractured Not Broken: The Relationship Wellness Podcast occur in Washington, DC. All guests are responsible for their own travel expenses, transportation, and accommodations to and from our recording studio.
    ​    Attire: Business Casual
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    Remote guest recordings:  Please have a reliable internet connection, webcam, an external microphone and headphones for optimal audio quality. Once your session is confirmed, we will provide the link for you to join the session from your computer. 
    ​    Attire: Business Casual.