Guest Teachers - The Collective Consciousness Community

Name (as it would appear on the website)

Email

example@example.com

Phone Number

Area Code Phone Number

Title (as it would appear on the website)

Examples: Yoga Teacher, Breath Coach

Please upload a headshot

Browse Files

How would we describe you on our website

How can we collaborate? What are your skills? What are your needs?

Image for Class

Browse Files

Title of Class

Description of Class

Do you have a website? If yes, list it below

Are you on instagram? If yes, list it below.

Are you on Facebook? If yes, list it below

Is there anything else you'd like to share?

Photo / Video Image Release

By Filling out this form, I am granting permission to use my images, video, name, and audio in content shared under the website of The Collective Consciousness Community hosted by Jennifer Merritt. I give permission for Jennifer Merritt to edit as necessary and use only content I've submit for use this includes use photos/videos in promotional materials, on the website or in electronic social media for the Collective Community.

Print Name

First Name Last Name

Signature

Clear