Practitioner Profile Request Form

Please complete all fields below, and don’t forget to email your headshot to watertownspace@gmail.com.

You will be contacted to review your initial profile page to ensure accuracy. Any updates in future should be sent to the email listed above.

See Practitioner Profiles for examples.

Name *

First

Last

Email *

Phone Number

Office number

If you’re a regular renter of a WCHA office space

Website (optional)

Address for your website outside of WCHA. Please do not include social media at this time.

Title

E.g. Mental Health Counselor, Yoga Instructor, etc.

Bio (About Yourself) *

Please limit to 150-300 words.

Offerings *

Please provide BASIC info about your current offerings: e.g. 60 min sessions for $100. You may also provide a link to a class registration page, etc.

About Your Modality (optional)

Any info you’d like to provide to help people understand your modality. (e.g. “About Reiki”). Please limit to 300-500 words.

Head shot *

• I understand I must email my head shot separately to watertownspace@gmail.com.

Doing this immediately after submitting your form helps us get your profile done quickly & keep costs low.

Submit