Apply | Shoulders Back

First name

Last name

Age

Email

Phone

What city do you live in?

Current School or Workplace

Year in School / Program / Occupation Title

How did you hear about Shoulders Back?

What inspired you to apply for Shoulders Back?

Which Shoulders Back theme most excites you?

If you could describe yourself as a quote, lyric or phrase, what would it be? (Optional for potential inclusion in our event materials)

Instagram or Linkedin Profile

Is there anything else you'd like us to know about you?

Are you available March 13, 2026 (exact time tbd), this is the scheduled date for our 1st Annual Shoulders Back Summit

Yes

No

Are you interested in volunteering at other events in support of Shoulders Back?

Yes

No

I understand that if accepted, I will be responsible for confirming my attendance and paying the event registration fee of $100

I consent to photos/ videos being taken during the conference

SHOULDERS BACK