Full Name
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Email
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Phone
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Please select the options below for the services you would like to provide at the Santa Barbara Healing Center. If they are not listed below you may type them in the additonal information box at the bottom of the form:
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Massage
Accupuncture
Cuddle Therapy
Energy Work
Meditation
SuperFood Intuitive Eating
Yoga
Assisted Stretching
Qi Flow Movement
Healing Dance
Breath-work
Therapeutic Martial Arts
Life Coaching & Design
Miracle Mindset Training
Talk Therapy
Personal Development
Empathic Communication
Relationship Assistance
Which type of business relationship are you interested in?
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Room Rental Only
Strategic Partnership
What areas of healing are you personally interested in for yourself?
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Mental
Spiritual
Emotional
Sexual
Physical
Relational
Familial
Ancestral
Please feel free to share any other interests, information, or anything else that we should know about you.
* Please Note: All required questions must be answered for the request to process.
Submit Request