Facilitator Interest Form
Are you interested in Facilitating Tantra Speed Date?  Fill out this form and indicate where you would like to facilitate.  If we're not planning on expanding to your city at this time, we will make sure to keep your application on file until we do; and we'll reach out then.  Thanks for your time and interest in this event.
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Full Name *
Date of Birth *
Phone *
Email address *
Where are you located? (City/State/Country) *
Have you attended Tantra Speed Date, if so, which date and city?
What did you like about the event?
What is your desire in facilitating this event? *
Please paste in a bio and resume of credentials or relevant experience. *
Please list a few references who can speak to your teaching/private session work/etc which we may contact (Name, Email, Phone and what they can provide a reference for)
When is the best time to contact you? *
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