Share Your Story - Who Am I Really Podcast

First Name

Last Name

Where do you live now?

Website URL

Your mobile number

Your Instagram ID?

Your Facebook ID?

How much do you want to share?

I'm open to sharing my whole story Could we keep a few parts confidential pls? I'd really like to remain anonymous please.

Website or Links to your story

Brief background on your childhood in adoption*

A few words about your reunification:

Upload a photo that's meaningful to you (optional)

Consent: I want to make sure that I have your permission to use your name, likeness, and any information you share here that is captured during this recording with the “Who Am I Really?” podcast community. You understand that the edited version of this recording will be included in a future episode of the “Who Am I Really?” podcast. The “Who Am I Really?” podcast is distributed worldwide to our audience via multiple platforms including, but not limited to podcast platforms, our YouTube channel and possibly through other audio and/or video platforms in the future. We both agree I am the owner of all of the rights to this recording and may edit for time or clarity and distribute it electronically and digitally. Also, you should be aware that some of the information you provide during the interview may be used in articles or books as quotes, which will of course occur with the appropriate referencing. Please type your name below to acknowledge you agree. Thank you!

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