Platinum Participant Profile

Welcome GORGEOUS! We are so excited to meet you and create a great experience for you! To help us get to know you a little better, please take a moment to fill out the participant profile below. Once you've completed the form, click "SUBMIT" and you will be taken to the payment screen. Thank you!

* Indicates required field

Name *

First

Last

Nick Name (what you liked to be called) *

Email *

Contact Number *

Your Gorgeous Photo

Upload Photo Here *

Max file size: 20MB

Your Birthday (because we want to celebrate you) *

Tell Us A Little About Yourself *

Which S.W.A.G. area do you feel you need to focus on the most? *

Provide a brief explanation for your answer *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Would you be interested in sponsoring a woman to attend a future S.W.A.G. class? *

Yes - please send me the details Maybe - I would like more information No - not at this time

Submit