Membership Application

First name

Last name

Company name

Phone

Instagram Handle

Type of wellness provider

Chiropractor

Physical Therapist / Pelvic Floor PT

Massage Therapist

Reiki / Energy Practitioner

Acupuncturist

Therapist

Health Coach

Spiritual Creative

Holistic Practitioner

Other

Tell us about your business and services: Who do you serve? How long have you been practicing?

Why are you interested in joining The Healers Club?

Increase visibility

Connect with wellness providers

Build referrals + collaborations

Attend networking events

Grow with community support

Be featured through Self-Care Social

What are you hoping to gain from this membership?

How do you hope to contribute to the Healers Club community?

Why do you feel The Healers Club is the right community for you at this stage of your business?

I agree to support a community built on collaboration, connection, and alignment among New Jersey wellness professionals.

Thank you for applying to The Healers Club. Save our email to your contacts selfacresocial.nj@gmail.com to ensure our emails avoid your spam box. Expect approval email and headshot request with 2 weeks.

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