Welcome to the Soul Academy Practitioner Ecosystem.

Please complete this form in full so we have your correct details for:

. website + social media promotion

. newsletters + community updates

. internal practitioner contact + invoicing

Once you submit this form, you’ll be directed to the payment link to activate your

2026 Practitioner Membership.

Please ensure all information is accurate and ready for publication.

Full Name *

Business Name *

ABN (if applicable)

Email *

Phone

Website / Booking Link

Social Media Handles

Location(s)

Professional Bio + Offerings

Short Bio (50–100 words)

Detailed Description (optional, 200–300 words)

Primary Offerings

Special Modalities or Certifications

Session Type Availability

In-Person

Online

Both

Media Uploads

Professional Headshot

(high resolution)

Business Logo

(if applicable)

Additional Images (optional)

event photos, product shots, etc. (max 3 uploads)

Administration + Compliance

Public Liability / Professional Indemnity Insurance Certificate

(file upload – optional but recommended)

Emergency Contact Name & Number

Acknowledgment Checkbox: *

I confirm all information provided is true and accurate.

I understand this information will be used for Soul Academy promotions, newsletters, and website directory.

I understand this form is part of the Soul Academy Practitioner Membership process and does not create an employment relationship.

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