Call for Audience
If you are interested in being LIVE in-studio during Darya Rose's "Lose Weight Without Dieting" workshop, May 19-21, 2014 in San Francisco please fill out the form below in order to be considered. Please note there is limited seated and we will be reaching out directly to the selected participants. The submission deadline is Fri May 16th, 2014, at Midnight (Pacific Time). To find out more information about Darya's workshop, visit the course page: http://cr8.lv/dcpbcp
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Your name *
Your Phone Number *
Your Email Address *
creativeLIVE username
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Your Website *
Your personal website of your company's website
What city do you live in? *
Are you any of the following? *
(check all that apply)
Required
In a few sentences, please tell us a little bit about yourself [self, health goals, problems you've had along the way etc] and include your social media information! *
Confirm your age. *
If under 18, you must be accompanied by a parent or guardian for the duration of the workshop.
If you are under 18, please provide a name, email, and phone number for your parent or guardian.
Please Confirm you are able to make the following dates in San Francisco
(To be selected as an in studio audience member we need you to commit to all three days)
Submit
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