Pahrump Wellness Sanctuary – Workshop & Speaker Submissions
Thank you for your interest in helping us enrich the lives of those in our wonderful community
Please enter your full name
*
First Name
Last Name
Email address
*
example@example.com
Phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you interested in leading a workshop or sharing a 10 minute talk?
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Wellness Workshop
Short Talk/Speaker
Both
Proposed Title of Your Workshop or Talk
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Please provide a thoughtful description of your workshop or talk (topics, goals, format, etc.)
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Tell us about your background, relevant experience, or what inspired you to become involved at our upcoming events
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Do you have any special requirements or needs? (accessibility)
Are you comfortable with us recording your talk for marketing purposes?
Please Select
Yes
No
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