LifeWise Meet-Up Host Interest Form
Thank you for your interest in hosting a LifeWise Meet-Up! Please provide the details of your event below.
Event Location Information
LifeWise Program
Your Name:
Your Role
Please select...
Program Director
Teacher
Meet-ups are generally intended to be in-person events. Select the virtual option ONLY if there are no other LifeWise programs near you.
Will this Meet-Up be Virtual?
Please select...
No
Yes
Are you comfortable hosting a Google Meet meeting? * Instructions for creating a Google Meet meeting will be sent in follow-up communications
Please select...
Yes
No
Site Name:
Street Address
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
Can this site accomodate two separate groups? (one space for teachers and one for directors)
Please select...
Yes
No
Facilitation
A program director has agreed to act as facilitator for the program director group.
Please select...
Yes
No
A program teacher has agreed to act as facilitator for the teacher group.
Please select...
Yes
No
Teacher Name
Teacher LifeWise Email
Date and Time
Meet-Ups will take place for 2 hours on April 18th, 2026.
Meet-Up Date
Time my event will begin: (
Must use the format in the example incuding AM/PM
Time Zone:
Please select...
EST
CST
MST
PST
NOTE: If more than one host site is submitted in your county, you may be asked to host a future meet-up instead. A support team member will be in touch to confirm your event and to provide further details.
We cannot accept your submission. Please close this page. Thank you.
GAU
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