Tell Us Your Story

. Do You Have a Re-Birth, Come Back or Phoenix Rising Story? Have you overcome a hardship, sunk to your lowest, most hopeless point, and have made a miraculous recovery? If so, we’d love to hear your story.
. Please take your time telling your story below. The idea is to take the audience on your journey with you from beginning to end. This will help the producer and director gauge whether or not your story will be relevant for the show.

First Name *
Last Name *
Email *
Daytime Phone*
Evening Phone
Cell Phone
Are you willing to appear on the show? * yesNo
Tell us your story

*Please break your story up into paragraphs, upload your document and make sure your name and date of submission is at the top.(Please use the following file types to upload a file: Word Document or PDF.)

Address *
City *
State *
Zipcode *
Country *

*If you’re a business or organization interested in advertising on The Valarie Hurst Show, please submit your request here:

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