Event Setup Request Form 2020

event set-up form
About You
Your Name:*

First NameLast Name
Email:*
Which of the following best describes you?*

I am a Facilitator-in-Training (currently in Level 2)I am a Certified Facilitator (graduated from Level 2)I am a Practitioner-in-Training (currently in Level 3)I am a Certified Practitioner (graduated from Level 3)
Are you leading this event with a co-facilitator?*

YesNo
Who will you be co-facilitating your event with? *
Please note your co-facilitator must be in active training or certified with Eat Breathe Thrive
Your Website:
Your Social Media Handles:
e.g, Linkedin, Instagram, Facebook, TikTok
Please provide a short professional biography for use in promotional materials. Your bio should briefly describe your role and background, highlight your experience and how long you have been working in this field, and share your motivation or interest in this work.*

Maximum 150 words0/200
Please upload a professional headshot of yourself *

Upload
Minimum specs: 1,000pix wide, 300 dpi resolution, and 1MB size Cancelof
Please upload any action photos you would like to be included in promotional materials about your courses. For example, photos of you practicing yoga or leading groups in action. *

Upload
Please ensure you have consent from anyone depicted in the photos before uploading and sharing. Cancelof
About Your Event
Will your event or course be held online or in person?*

OnlineIn-Person
Name of Venue:
Street Address: *
City*
State / Province*
Country*
Zip / Postal Code*
Website of Venue Location, if applicable:
In what language will your event(s) be offered?*
What event or course will you be leading?*

Seven-Week SeriesYoga for Eating Disorder RecoveryCampfire Social EventOther
On what day will your sessions take place?*

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundays
Please note: All sessions must be two hours in length. Please provide your time in Eastern Standard Time (New York)
At what time will your sessions take place? *

:HourMinutes
–
until :HourMinutes
Start date:*

MonthDayYear
Date
End date:*

MonthDayYear
Date
Do you need to add any by-weeks?*

NoYes
On what date will you be having a by-week?*

MonthDayYear
Date
Will you be charging a fee for your course?*

YesNo
Full Fee:*
Early-Bird Fee:*
expires two weeks before start date
Will you be offering scholarships for this course?*

YesNo
What scholarship model will you use (select all that apply)?*

I will offer full scholarshipsI will offer partial scholarships
What fee will scholarship recipients pay for the course?*
Date & Time (Eastern Standard Time)*

MonthDayYear
DateHourMinutes
What is the theme of the Campfire Event?*
Promoting Your Event
Would you like our support in promoting your course or event?*

YesNo
What do you hope people will get from this experience?
What inspired you to lead this course or event?
What do you want people to know about this course or event?
Is there anything else you would like us to know?
Should be Empty:

event set-up form

About You

About Your Event

Promoting Your Event