The form must be completed no later than two days prior to the interview date. If the form is not completed, your segment could be canceled. Please be advised that no more than two guests will be allowed on-air at one given time.

Arrival time for the show is 11:45 a.m. The WDTN studio is located at 4595 S. Dixie Dr., Moraine. (The visitors parking lot is located off Winwood/Bob Phillips Avenue, the connecting street between Kettering and South Dixie.)

Date of your appearance(required)

Event Title or What You’re Going to Talk About(required)

Location of your event or address of the business you are promoting(required)

Date of your event(required)

Who Will Be Here?

Primary Guest(required)

Primary Guest’s Title/Role(required)

Primary Guest’s Email(required)

Secondary Guest Name

Secondary Guest’s Title/Role

Secondary Guest’s Email

Interview Discussion

In a few words, what will you be discussing during your interview?(required)

Description of Organization(required)

URL Website Link

Questions & Talking Points

Please list three to five questions you would like asked in the interview with a brief answer.
Avoid short questions that can be answered by “yes” or “no.” Keep in mind this interview is THREE MINUTES long. The more information you can provide, the better.

Question #1(required)

Question #2

Question #3

Question #4

Visual Elements

It is recommended that you provide at least one of the following: Pictures/Video/Tangible objects!
*Music/video is required no later than 3 workdays before the interview.
*Music and Video must be owned by guests or have written permission to use by the owner.
*Music or Videos will not be used without written consent.
Send Photos/Video To: livingdayton@wdtn.com

Visual Props Description

Living Dayton General Appearance Release

I agree & accept the appearance release(required)

By submitting your information, you’re giving us permission to contact you.