Retreat Facilitator Application (2023)

Best Life Retreat Women's Wellness Rest.Reset.Reconnect.

2023 Facilitator Application
Facilitator Information
Name

First NameLast Name
Email (Please double check spelling)
example@example.com
Birthdate

MonthDayYear
Date
Cell Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact's Name

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Business Name
Please share a short bio (for promotional uses only).

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Company logo (PNG format preferred for promotional uses only).

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Headshot (a high resolution photo of yourself for promotional purposes only).

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YesNo
If yes, please indicate insurer.
Have you participated in a retreat before?
If YES, what retreats have you led sessions and what did you do?
Teaching style (describe your teaching style, approach with students/clients, class organization, pacing and delivery--what would your students/clients say about you as a teacher?)
Where can we see your work? Please indicate website and/or social media handles.
Reference name (eg. someone who can speak to your work & professionalism).
Reference contact information (email & phone).
YesNo
YesNo
YesNo
YesNo
YesNo
Do you have any special dietary requirements? (eg: gluten-free (please specify if you are celiac), allergies, vegan etc…)
Are you bothered by scents (essential oils, incense, perfumes etc.)? If yes, please let us know the details.
How did you learn about the Best Life Retreat | Women's Wellness Experience?
Why do you want to facilitate a session at retreat? What are you seeking to gain from the experience?
What kind of session(s) are you interested in leading at retreat?
YesNo
If yes, what kind of 1:1 sessions are you able to deliver (30 - 60 min.)? What are your fees for 30 min and 60 min sessions?
Do you have products sold as part of your brand? If so, what?
Anything else you want to share with us?
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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Best Life Retreat Women's Wellness Rest.Reset.Reconnect.