Visiting Wellness Guide Application

    Contact Information

    Wellness area you identify most with (select all that apply)*

    What classes would you like to teach at CIVANA?*

    How many times a year?*

    Are you willing to teach 2 classes a day?*

    What is the ideal number of participants in one of your classes?*

    Are you interested in teaching private classes &/or one on ones?*

    Please attach the following documents

    How did you hear about CIVANA?