Wild Bay Ambassador Pre-Qualification

1

Full Name* This field is required.

First Name

Last Name

2

Email Address* This field is required.

example@example.com

3

Instagram Handle* This field is required.

Include your handle (with or without @).

4

TikTok Handle

Include your handle (with or without @).

5

Mobile Phone Number

Please enter a valid phone number.

6

Zip Code* This field is required.

7

Are you 18 or older?* This field is required.

Yes

No

8

Which best describes you?* This field is required.

Creator / influencer

Student ambassador

Fitness / wellness ambassador

Cafe / hospitality community person

Local lifestyle creator

Other

12

Are you open to a gifted-product partnership rather than cash compensation?* This field is required.

Yes

No

13

If accepted, would you be comfortable creating a few shorts/reels/posts/stories in exchange for Wild Bay Kombucha?* This field is required.

Yes

No

14

Tell us briefly why you’d be a good fit for Wild Bay

15

Qualification Status

Qualified

Not Qualified