If you would like to be considered for our celebrity panel, please complete the form below. First Name, Last Name, Email, Phone, Zip Code, City State, Country How did you hear about us? Have you been a celebrity panelist before? If yes, please list the shows you have been a panelist on. What is your occupation? Are you available to travel? If yes, please list the cities you are willing to travel to. Do you have any dietary restrictions? If yes, please list your dietary restrictions. Do you have any allergies? If yes, please list your allergies. Do you have any medical conditions we should be aware of? If yes, please list your medical conditions. Are you comfortable discussing sensitive topics on air? If yes, please list the topics you are comfortable discussing. Is there anything else you would like us to know about you? Thank you for taking the time to fill out our celebrity panel application. We will be in touch if we are interested in having you on our show.