Request edit access
"LIVE" with Taji Submission (Solicited)
Interviews air on Tuesday Night's 8 pm - 10 pm EST on YouTube and podcast platforms. Submissions will be taken into consideration.
Sign in to Google to save your progress. Learn more
Email *
Full Name (First, Last) *
Alias/Nickname (Name preference) *
Location (City, State, Country) *
Instagram, Twitter, and Facebook handle *
First time on a podcast? *
What is your talent and/or reason for wanting to come on "LIVE" with Taji? *
What is your interview preference? *
Required
Are you over the age of 21? *
Are you interested in... (payments accepted via Cashapp - $taji319 or PayPal - livewithtaji@gmail.com) *
Required
Date of interest? (Some weekends are available) *
MM
/
DD
/
YYYY
Once your interview date is confirmed, you will be sent an email. Please type "I ACCEPT" below to accept this statement. *
I AGREE VIA ELECTRONIC SIGNATURE of this form to the following statement: I, hereby grant permission to "LIVE" With Taji Show, the rights of my image, in video or still, and of the likeness and sound of my voice as recorded on audio or videotape with payment of my above selection (US Dollars) or any other consideration. I understand that my image may be edited, copied, exhibited, published, or distributed, and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.  Photographic, audio or video recordings may be used for ANY USE which may include but is not limited to • Presentations;• Courses;• Online/Internet Videos;• Media;• News (Press); By signing this release, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting. I will be consulted about the use of the photographs or video recording for any purpose other than those listed above. There is no time limit on the validity of this release, nor is there any geographic limitation on where these materials may be distributed. This release applies to photographic, audio, or video recordings collected as part of the sessions listed on this document only. By e-signing this release by typing my full name below, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes. *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy