Home 5 Room Hire 5 Therapists Registration 5 Registration Form Registration Form1Your Details2Your Business3Your ServicesName(Required)Address(Required) Street Address Address Line 2 City County Postcode Email(Required) Phone(Required)Do you want to add business information that is different from above?(Required) No YesTrading NameBusiness Address Street Address Address Line 2 City County Postcode PhoneEmail Website List services you will be providing(Required)Will you be working with children and/or vulnerable adults?(Required) No YesPlease supply a copy of your latest DBS check(Required)Max. file size: 4 MB.Governing / accreditation bodies for which you have membershipDetails of insurance heldPlease return copies of all accreditation / membership certificates(Required) Drop files here or Select filesMax. file size: 4 MB.Please return copies of your insurance policies.(Required) Drop files here or Select filesMax. file size: 4 MB.Please return Photo ID (Passport or Driving License)(Required) Drop files here or Select filesMax. file size: 4 MB.I agree to the website Terms & Conditions(Required) I AgreeNameThis field is for validation purposes and should be left unchanged.
