Practitioners database form

Please complete the form below. All elements marked * are mandatory.
Please note this form cannot be saved and returned to at a later date, please have all documentation and website-ready blurbs prepared before you complete the form for submission.

We recommend keeping a word document handy with all your answers as the form will not save your progress. To make things easier, this form is available as a word document below.

Practitioners-database-form – Word document Download

    Section 1 : Tell us a bit about you*



     

    [group Child-pvgcheck] [/group]

    Section 2 : What you teach

    Single Workshops

    Would you like to add another workshop in a secondary modality / skillset? For example, if your first skillset was yoga, you could now add another practice you are qualified to teach.

    [/group]

    [group add-workshop-1]

    Would you like to add another workshop in a third modality / skillset?

    [/group]

    [group add-workshop-2]
    [/group]

    Introductory Course

    Would you like to add another course in a secondary modality / skillset? For example, if your first skillset was a six beginners yoga course, you could now add another practice you are qualified to teach.

    [group add-course-1]

    Would you like to add another course in a third modality / skillset?

    [/group]

    [group add-course-2]
    [/group]

    1:1 Sessions

    Would you like to add another 1:1 session in a secondary modality / skillset?

    [group add-121-1]

    Would you like to add another 1:1 session in a third modality / skillset?

    [/group]

    [group add-121-2]
    [/group]

    Section 3: Please attach:

     

    • Public liability Insurance*

    • Qualifications certificate*

    • Additional qualifications certificate (optional)

    • 2 reference documents*

      • [group group-pleaseattach-pvg]

    • PVG certificate

      • [/group]

    (Reference documents must contain contact details, capacity which known, how long for, why they recommend you. At least one has to be on professional basis for current wellbeing offerings. If newly qualified can be from tutor etc. Other options could be clients, previous employment or course tutors. Files must be less than 2mb each, and in png, jpg, pdf or word format.)

     

    [group group-pvgupload][/group]






    Practitioner agreement

    Read the Practitioner Agreement here.



    [mc4wp_checkbox]

    Section 4 : Any additional details


    What a beautiful space this studio holds for people to connect, laugh, cry and grow.

    Workshop facilitator

    The group were really engaged… really interested in talking to each other, and finding out how certain ideas / theories / practices might work for them. A really lovely group to work with.

    Workshop facilitator

    The group all really enjoyed their session today and all felt very relaxed. All very positive about the experience and will hopefully be able to taken something from it into their daily lives.

    Workshop facilitator

    Thanks again to Vicki and yourself, we will definitely keep you in mind for future events and workshops, we now know where you are!

    Workshop attendee