Therapist/Salon Registration Form
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Business name
Website
Enter your company Facebook handle (if you have one, e.g. @feelfabuk):
Enter your company Twitter handle (if you have one, e.g. @feelfabuk):
Enter your company Instagram handle (if you have one, e.g. @feelfabuk):
Business type
Beauty Salon
Nail Salon
Complementary Therapy Centre
Self Employed Renting A Room
Self Employed Working From Home
Mobile Therapist
Other
How many individuals are getting involved?
How many people are their in your team
(if applicable)
GDPR: Are you happy for the Feel Fab team to contact you in relation to our programmes? We will promote you to our registered care providers and we will share your profile on our website
YES
NO
Would you be interested in hearing from our supporting partner MiTribe (helping therapists with their business online to build and gain clients). By selecting 'Yes' you are consenting to us sharing your full name, company and email address with MiTribe
YES
NO
Back
Next
How would you like to get involved
provide treatments in a care setting
Offer vouchers to local people in need
Both
Other
What treatments would you prefer to offer? (e.g. massage, facials, nails, pedicures, hand massage, foot massage, makeup, OTHER):
Do you have a care service provider in mind that you would like us to reach out to?
Please Upload your proof of qualifications/ certification
Browse Files
Cancel
of
Please upload an Image of yourself or your business logo
Browse Files
Cancel
of
Please upload some ID
Browse Files
Cancel
of
Please upload proof of your current public liability insurance
Browse Files
Cancel
of
Do you have or have previously had a Criminal Record Bureau check.
YES
NO
Where did you hear about us?
Social media
Online
Word of mouth
Talk or exhibition
OTHER
If you have any other requirements or would like to provide additional information, please add it below:
Signature
Submit
Should be Empty: