#HEELSOUT® Instructor Interest Form

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Join the #HEELSOUT® movement as a certified instructor! #HEELSOUT® is expanding and offering you the opportunity to earn an extra income, have fun, and empower women in a judgment-free zone.

First Name *

Last Name *

Email *

A #HEELSOUT® representative will use this email to contact you and/or send updates.

Phone Number *

A #HEELSOUT® representative will use this number to contact you and/or send updates.

Are you currently affiliated with or teaching heels dance classes/pole dance classes/general dance classes (hip hop, jazz, modern/contemporary, ballet, social/cultural) independently or with another studio/company? *

Yes

If yes, please explain below:

Have you attended a #HEELSOUT® dance party/class? *

Yes

Current Age *

Must be 21 or older to complete form

Where would you like to host your dance party/class? *

Please list your city and state.

What is your IG handle? *

How can we find you on Facebook? *

What is your Tik Tok handle? *

Please describe your experience teaching dance and or background in dance. *

How did you find out about us? *

A current #HEELSOUT® Instructor

#HEELSOUT® IG Page

#HEELSOUT® Facebook Page

#HEELSOUT® Tik Tok

I attended a #HEELSOUT® event/dance party/class

Other

Other:

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