This form has been updated! Check out the shiny new version here: 
https://cuddlist.typeform.com/to/Ud36zy?afmc=xxxxx
 
Please complete the form below:

 
First and Last Name *

 
Your primary phone number

 
Your City & State *

 
To give us a better sense of who you are, we require that you share a personal website, social media link, or anything else to show us why you will make a great Cuddlist! *

 
Tell us a little bit about yourself! *

 
Are you open to cuddling individuals of any gender? *

This is a current requirement for all prospective Cuddlists
     
 
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If you were referred by someone, let us know!
 
If you have a promo code, enter it here!

 
Enroll in Online Training for  {{var_price}} *

Upon payment and enrollment, we will send an e-mail welcoming you to Cuddlist, and giving you access to our course material.
 
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(3 or 4 digit security number on the back of your card)
 
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We will e-mail you shortly with the next steps in accessing our online training!
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