Insructor application form:

Please fill out the form below and click submit.  A member of the Temple will contact you to go over date and room confirmation. 

We look forward to having your event at the Temple of Light Spiritual Wellness Center!

Event Submission
Prefix (*)

Invalid Input
First Name (*)

Invalid Input
Last Name (*)

Invalid Input
Suffix

Invalid Input
Email Address (*)

Invalid Input Please use email attached to your PayPal account.
We remit any payments collected on line for your event to your paypal account

Street Address (*)

Invalid Input
City, State, Country

Invalid Input
Zip (*)

Invalid Input
Cell Phone (*)

Invalid Input
Landline

Invalid Input Numbers only, example 9493407408

Picture for the website listing & flyer (2MB Max)

Invalid Input
Modaility-Area of work your event, workshop or lectures covers (*)

Invalid Input
Course Description (*)

Invalid Input You can simply copy/paste (ctrl C/ctrl V) your course description from word or a text file directly

Name of Room Desired for Event (*)

Invalid Input
Desired Day of the Week or Dates, Provide one or two alternate dates (*)

Invalid Input
Length of Time for Your Event

Invalid Input
Cost of Event, Early Bird Discount, Multiple Purchase Discounts, Etc. (*)

Invalid Input
Hosted or Non-Hosted or Not Sure? (*)

Invalid Input