Brand Ambassador Application Form

Fill out the form below to see if you meet our criteria to become a Thrill Therapy VIP

First Name *

Last Name *

Date Of Birth *

Email? *

Are you a Subscriber at Thrill Therapy? *

Yes

No

Amount spent at Thrill Therapy in last 12 months *

Less than $500

More than $500

Have you Followed our Socials? *

Select all that apply

Facebook

Instagram

TikTok

Have you tagged Thrill Therapy in your posts/stories? *

Favourite Athlete

APPLY TO BECOME A VIP