Early Access Registration Educator & Speaker Interest

We are currently curating our education for Facials & Feedback 2027. If you are interested in contributing to the educational experience, please complete the form below. Selected educators will be contacted with additional details. Spaces are limited.

First name

Last name

Company Name

Position

Phone

Enroll in Text Notifications?

Yes

No

Email

What City, State will you be traveling from?

Will you require hotel accommodations?

Yes

No

Unsure

What professional licenses or certifications do you currently hold?

Are your licenses currently active?

Yes

No

How would you like to participate in the event?

Educator Only

Educate & Sponsor

Do you have experience educating large groups on stage?

Do you currently offer any education or training programs?

Yes

No

How would you prefer to participate as an educator? ( select all that apply)

Symposium-style presentation ( general session)

Small group / classroom-style training

Hands-on workshop

Are you wanting to offer a separate paid class or advanced training?

Yes

No

Maybe

What topic(s) would you be interested in teaching?

What key takeaways would attendees gain from your session?

Please share your social media accounts:

Please review and acknowledge the following:

I certify that all information provided, including my credentials, licenses, and experience, is accurate and truthful to the best of my knowledge.

I confirm that I am an experienced educator and that all listed credentials and qualifications are valid and legitimately obtained.

If selected, I agree to submit a detailed curriculum outline for review.

I understand that all educational content is subject to approval to ensure alignment and event standards.

I acknowledge that this is a curated educational program and that selection is not guaranteed.

I understand that misrepresentation of credentials may result in disqualification or removal from participation.