Affiliate Sign Up Form

Healthy Beach Girl Affiliate Sign Up Form

Thank you for your interest in becoming an Affiliate of Healthy Beach Girl Healthy Lifestyle and Nutrition Programs.  Please allow 5-7 business days to review your request.

Your Full Name *

Your Email *

Phone number *

Do you have a paypal account?
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Email for paypal payments (if different from above):

Desired username *

For your affiliate account and referral url. For example, if your username is "dtintructor" your referral url would be "healthybeachgirl.com/ref/dtintructor"

What is your current role in fitness/health/nutrition?

What certifications do you currently hold?

Which affiliate program are you interested in? *
Dance Trance FitnessHealth/Yoga/Fitness

Dance Trance Studio Location (if applicable):

Do you have a nutrition program currently in place at your studio?
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Please list your website here if you have one:

Message/Comments (optional):

I Agree with Terms of Agreement *
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About Healthy Beach Girl

Throughout my journey in this lifetime, I have had many identities including Professional Mechanical Engineer, Merchant Marine Officer, Naval Officer, Collegiate Athlete, Swim Coach, Windsurfing Instructor, Fitness instructor, Daughter, Sister, and most importantly Mom and Wife. All of those things are just things I DO, but they are not who I AM.  Many of us have asked the question “Who am I and what am I here on Earth to do?” Read More