THE CHAMPION NETWORK GUEST APPEARANCE APPLICATION AGREEMENT (CEO)

First & Last Name: *

Stage Name (If Applicable)? (N/A if not Applicable) *

City *

State *

Zip Code *

Email Address *

Phone Number *

I AM 18 YEARS OLD OR OLDER? IF NOT STOP! Legal Guardian must fill out different LEGAL GAURDIAN FORM! *

YES

NO

TV Release RELEASE FORM - You grant THE CHAMPION NETWORK Broadcasting and its affiliate channels permission to film you as a guest on one of our flagship TV shows. You also grant us permission to use your likeness, images and video clips for promotional and publicity purposes on our television network, affiliate channels, social media, websites, etc. You understand that there is no compensation as a guest on the television show. You also agree that there is no travel allowance unless it is in writing signed by the executive producer. We hold the rights and licensing of this television show and have the right to rebroadcast the show more than once. *

YES

REMOTE: Guest Appearance Preference *

Remote from my home or office (some shows require TV studio, we will advise)

I will come to the TV Studio (Not offered at this time)

Preferred Name Title. Do you have a ministerial title or professional title? Examples... First name only, Mr. , Mrs. gospel artist, singer songwriter, rapper, author, etc? How do you want us to address you on the show? * *

Do you understand that you will be approved to be a guest on this show, based on the information provided and confirmed. If you are not approved, we will contact you with information as to why you were not approved. You also agree that the information you provide us on this form is accurate and of truth. *

YES

NO

Have you appeared on any of our TV Shows in the past? If yes, please list. If not, state No *

YES

NO

How did you hear about us? *

Tell us about yourself, your book(s), testimony or anything else you think is relevant for the TV Show you would like to appear on. *

Would you be interested in a presentation on how you can have your own TV Show on our network? *

YES

NO

Please post your social media links? Example: TikTok, YouTube, Facebook, Instagram etc. *

Upload your BIO, and any other media links we can take into consideration to play on the show?

Website: *

Select what month you would like to come. Please select an alternate month in case, we are booked for the 1st month you have selected. *

Do you understand this broadcast is supported by our TV advertisers and they make it possible for us to continue broadcasting our featured TV Shows on THE CHAMPION NETWORK. We ask guests to participate in our ad campaigns by listening to a brief presentation about the products or services of our advertisers. You are under no obligation to make any purchase unless you choose to at your free will. Do you agree to participate in the no-obligation ad campaigns that will take around 15 minutes of your time. Do you understand and agree? *

Yes. I understand and agree to participate in the no obligation Ad campaign.

No. I decline to participate in the no obligation Ad campaign.

Would you like to sow a seed or give a donation! If so, how much! *

Yes

No

How much would you like to sow or donate? *