JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
No Fee
Event
Submission Form
Please complete all sections below to submit your wellness event for posting on the Seaside Wellness AC website events page, with a link to your registration page. This is a free service and events will be reviewed for consistency with Seaside Wellness AC's mission and values. Events must be open to the public.
Questions? Contact us at
seasidewellnessac@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Section 1: Partner & Host Information
Tell us about yourself and your wellness practice.
Full Name
*
Your answer
Business or Practice Name
If different from your name above.
Your answer
Phone Number
*
Your answer
Website and/or Social Media URL
*
Your primary online presence (e.g. Instagram, website). This may be featured in promotions.
Your answer
What best describes your wellness specialty?
*
Yoga / Movement
Meditation / Mindfulness
Sound Healing / Sound Bath
Massage / Bodywork
Nutrition / Health Coaching
Mental Health / Therapy
Fitness / Personal Training
Reiki / Energy Work
Breathwork
Workshops / Education
Retreat / Multi-session Experience
Other
Other:
Brief Bio or Practice Description
*
2–4 sentences that may appear in your event promotion (e.g. on our social media or website).
Your answer
Section 2: Event Details
Give us the specifics of your event. Be as detailed as possible — this information goes directly into our promotional copy.
Registration Link for Event
*
Your answer
Event Name
*
Your answer
Event Date
*
Please enter the full date (e.g. Saturday, August 8, 2026).
Your answer
Event Start Time
*
Include AM/PM and timezone (e.g. 10:00 AM ET).
Your answer
Event End Time
*
Approximate end time is fine.
Your answer
Event Format
*
In-person only
Virtual / Online only
Hybrid (in-person + virtual)
Venue Name
*
For in-person or hybrid events. Enter "Online" if fully virtual.
Your answer
Venue Address
*
Full street address, city, state, zip. For virtual events, enter the platform (e.g. Zoom).
Your answer
Event Description
*
Describe your event in 3–6 sentences. Include what attendees will experience, who it's best for, and what they should bring or wear. This will be used in promotions.
Your answer
Wellness Category
*
Select the primary category for this event.
Yoga / Movement
Meditation / Mindfulness
Sound Healing
Massage / Bodywork
Nutrition & Wellness
Mental Health & Therapy
Fitness
Reiki / Energy Work
Breathwork
Workshop / Education
Retreat
Other
Other:
Maximum Capacity (number of tickets)
*
Total number of spots available for this event.
Your answer
Prerequisites or Requirements for Attendees
Check all that apply.
No experience necessary — all levels welcome
Some prior experience recommended
Must complete a waiver or liability release
Must be 18 years or older
Must be 21 years or older
Specific attire required (e.g. yoga clothes, comfortable clothing)
Participants should bring their own mat / equipment
Other (describe below)
Additional Attendee Requirements or Notes
Any other things attendees should know before registering (health considerations, what to bring, parking, etc.).
Your answer
Section 3: Ticketing & Pricing
Ticket Structure
*
Single ticket price (one tier)
Multiple ticket tiers (e.g. Early Bird, General, VIP)
Free event (no tickets needed)
Sliding scale / pay what you can
Ticket Price
*
Enter the price in USD (e.g. $45.00). Enter $0 if this tier is free.
Your answer
Any Discount Codes or Partner Promo Pricing?
E.g. "SWAC10 for 10% off" — let us know if you want to offer a code and we'll coordinate.
Your answer
Section 4: Promotional Assets
Help us promote your event effectively!
Event Flyer or Image (Google Drive link)
Share a link to a high-resolution image or flyer (at least 1080×1080px) in Google Drive or Dropbox. Make sure sharing is set to "Anyone with the link can view." Leave blank if you don't have one yet — we can help create something basic.
Your answer
Your Instagram Handle
So we can tag you in posts. Include the @ symbol.
Your answer
Your Facebook Page or Profile URL
We'll tag you when we share on Facebook.
Your answer
Your TikTok Handle
Your answer
Hashtags or Keywords for Your Event
Any specific hashtags or search terms we should include in social posts (e.g. #SoundBath #AtlanticCity #WellnessNJ).
Your answer
When would you like promotion to begin?
*
As soon as possible after approval
6 weeks before the event
4 weeks before the event
2 weeks before the event
Other (specify in notes)
Section 6: Policies & Agreement
Please review and confirm the following before submitting.
Policy Acknowledgment
*
Seaside Wellness AC's assumes no responsibility for ticket sales or any aspects of the event, and is providing this service to help inform the public of upcoming event at no charge to the event host.
I understand and agree to the policy.
Required
Cancellation Policy Acknowledgment
*
If I cancel my event for any reason, I agree to notify Seaside Wellness AC immediately;
I understand and agree to the cancellation policy
Required
Anything else you'd like us to know?
Special requests, questions, co-hosts, special guests, or anything else relevant to your event.
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report