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Vibe Collective Wellness Practitioner/Guest Speaker Application
* Indicates required question
Email
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Record my email address with my response
Preferred method of contact (email, phone number, Instagram, etc.)
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Your answer
Tell us a little about you and your journey.
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Your answer
What is your wellness practice?
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Your answer
Please list your certifications and credentials.
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Your answer
Service fee
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Your answer
Workshop availability
Your answer
What type of impact do you want your practice to have on the community?
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Your answer
Guest Speakers: What topic of interest would you like to share/speak about?
Your answer
Do you have interest in supporting our pop-up events?
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Yes
No thank you
If you could change one thing about this world we live, what would it be and why?
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Your answer
Do you have a website/social media for your practice?
Your answer
Anything else you would like to share about yourself or your practice?
Your answer
Send me a copy of my responses.
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