Salt Vault Practitioner Application Contact Info Name * First Name Last Name Email * Phone (###) ### #### Website or Social Media Business Name * About Your Practice What service(s) do you currently offer? * How long have you been practicing? * Are you currently certified or licensed in your modality? * Yes No N/A Do you currently carry business insurance? * Yes No Not yet - planning to N/A Alignment & Intentions What draws you to join the Salt Vault Practitioner Collective? * How do you see yourself using the space (e.g., private sessions, events, workshops)? * What days/times are you most likely to book space? * Community Fit Are you open to being featured on our website and social media? * Yes No Maybe later Are you interested in joining our quarterly Salt Vault Collective Circles? * Yes No Tell me more Final Notes Anything else you’d like us to know? Thank you for applying! We’ll review your submission and reach out within 3–5 business days to follow up.
