Birth Story Submission
Please provide more information about you and your birth story so we can curate a wide range of stories on The Birth Hour. You will also be added to our email list for updates but can unsubscribe at any time.
Email address *
First Name *
Your answer
Last Name *
Your answer
Skype username *
Your answer
Cell phone *
Your answer
Is texting OK?
How many kids do you have? *
How many birth stories do you plan to share? *
What best describes your birth(s)? (check all that apply) *
Required
Briefly describe your birth in 3-4 sentences. *
Your answer
What unique perspective do you feel your story offers the audience? *
Your answer
Where do you live? *
Your answer
What is your age? *
Ethnicity origin/Race (optional)
If you have experience with any of the following brands/companies would you be willing to talk about your experience in an ad spot for The Birth Hour? Check all that apply.
What other brands/companies do you have experience with that you'd love to share about on the podcast if they were to sponsor an episode? *
Your answer
When will you be able to record? *
Required
Please complete the captcha before submitting the form.
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