JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
vibrant grace studio
⌇
referral partnership interest form
hi, this is aliana. i'm exploring a referral partnership program and am interested in learning what type of referral experience my community would be interested in.
read details about the referral partnership on our website.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
first name
*
Your answer
last name
*
Your answer
preferred name to be addressed as
*
Your answer
pronouns
Your answer
are you interested in a referral partnership through your business?
*
yes
no, as an individual
business name
Your answer
website
Your answer
title/what do you do/what are you about
*
Your answer
how are you connected to vibrant grace studio?
i'm a client
i'm a past collaborator
i'm a friend
i'm a supporter from afar
Other:
Clear selection
why are you interested in becoming a referral partner with vibrant grace studio?
*
Your answer
instead of assuming how this program would work, we prefer to hear from our community.
rewards would be given for the first project a new client invests in. what rewards are you interested in receiving by sending new clients my way?
*
monetary benefit
gift cards, such as to Target or a spa day
being added to a referral directory as a resource
send clients too/join my referral program too
i'm not interested in receiving anything in return.
Required
vibrant grace studio works with
with health, social justice, and wellness-centered initiatives dedicated to the wellness, joy and liberation of Black communities.
we value alignment, so telling people who would potentially believe in what we do + the energy we have is special.
the referral partnership rewards apply to
VIP intensives
and
workshops
.
*
Yes, I understand!
Yes, I understand and I have clarifying questions!
Required
any questions or other ideas?
Your answer
thank you so much for wanting to grow with us 🌸
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
