Instagram Takeover Request Form
Please note that submitting a request through this form does not guarantee that you will be contacted for an Instagram Takeover
Email Address:
Type of Takeover
Clear selection
Describe the content of your takeover
Proposed Date (if any)
What's your Instagram handle or Facebook URL so we can get a feel for your social media presence?
Before submitting, please keep in mind Burlesque Boston's values and mission: We are dedicated to fostering a culture of inclusion and empowerment within a safe and accountable community.

Thanks for being a part of the Burlesque Boston community!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.