Pop-Up & Workshop Hosting Interest Form
Thank you for your interest in bringing an Inspired Health & Wellness Network Pop-Up or Workshop to your organization, campus, or faith community. Together, we can create meaningful opportunities to support health, wellness, and community connection. Please complete this form and a member of our team will reach out to collaborate on dates, topics, space needs, and promotion.
Host Information
Organization/Community Name:
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Hosting Interest
What type of collaboration are you interested in? (Check all that apply)
Hosting a Health & Wellness Pop-Up
Hosting a Workshop (topic-based session)
Both
Preferred audience:
Youth/Students
Adults
Seniors
Families
General Community
Other
Program Topics of Interest
(Select all that may be a fit for your community)
Nutrition & Healthy Eating
Fitness & Movement
Mental Health & Stress Management
Financial Wellness & Economic Self-Sufficiency
Preventive Health & Screenings
Parenting & Family Support
Spiritual Wellness
Other
Logistics & Capacity
Preferred Dates/Times:
Space Availability (check all that apply):
Meeting/classroom space
Gym/large room
Outdoor space
Technology access (projector/AV, Wi-Fi)
Parking available
ADA accessible
Estimated # of Participants You Can Host:
Up to 25
25–50
50+
Collaboration Support
Would your organization be able to provide (check all that apply):
Space free of charge
Promotion/marketing support
Volunteers/staff support
Refreshments/meals
Supplies/materials
Other
Additional Notes
Please share any additional information, questions, or ideas:
Agreement
By submitting this form, you express interest in partnering with Inspired Health & Wellness Network to host a Pop-Up or Workshop. Our team will follow up to plan and finalize details.
Submit
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