STAYLIGHT AMBASSADOR APPLICATION Staylight Ambassador ApplicationName* First Last Where do you live?* City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Email Address* Phone Number*Social FollowingInstagram URLFollower CountFacebook URLFollower CountTwitter URLFollower CountBlog URLSubscriber CountWebsite URLSubscriber CountWhich Program Fits You Best?CAPTAINFollowers: 3,000 - 10,000 (or more than 300 actions per post)MAJORFollowers: 10,000 - 25,000 (or more than 750 actions per post)COLONELFollowers: 25,000 - 75,000 (or more than 1,500 actions per post)GENERALFollowers: 75,000 - Above (or more than 3,000 actions per post)Who Are You?Tell Us More!This is a space for you to explain more about your brand and what makes you unique!Agreement* I certify that I am at least 18 years of age. I agree to receive e-mail communication from Staylight Fitness. I understand that by filling out this application I am submitting myself to be considered for Staylight Boot Camp Social Media Ambassador Program, but that this application does not guarantee that I will be selected.CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms. TRANSFORMING BODIES. CHANGING LIVES.