Hello! Thank you for guesting with us at Supplementary!

We need to keep the following information on file:

Name

First Name

Last Name

Pronouns

They/them

She/her

He/him

Other

If other, please specify:

Guest spot START date

MM

DD

YYYY

Guest spot END date

MM

DD

YYYY

Email

Phone

(###)

###

####

Website

http://

Instagram handle

(or other social media accounts)

The state of Illinois requires me to keep on file the following:

- A copy of a government issued photo ID - A copy of your Bloodborne Pathogens Training certificate (if this isn't required where you live, you'll need to take an online course and obtain a certificate. ProTrainings.com has a decent one) - Provide any other licensing from your state/country

Upload ID, BBP certificate, and any other licensing here:

FileField; MaxSize=10000KB; Multiple

Feel free to email me at cloeyzikmund@gmail.com with any questions. Thanks!