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First Name *

Last Name

Date of birth *

Phone *

Social media *

Current occupation *

Where are you located? how far are you from midtown East Manhattan *

Are you experienced in body work or energy work or both? *

Do you have oil or smell sensitivities? *

Will you be comfortable cleaning and maintaining the healing spa while on shift ? *

What days are you available for work? *

Are you comfortable in your body? *

Photo of yourself *

Photo ID *

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