Directory Submission Form

Directory Submission Form

Submit your information to be included in our directory.
Full Name

First NameLast Name
Organization or Business Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Website (if applicable)
Social Link
Instagram
Social Link
Facebook
Social Link
TikTok
What Type of Practitioner are you?
Examples: Personal Trainer, Certified Strength and Conditioning Coach, Yoga Practitioner, Energy Work, Pilates, Sound Therapy, Physical Therapist, Massage Therapist, Yoga Practitioner, Herbalist, Etc.
Brief description of yourself and your practice.
Example: I am a Florida native, have been a trainer and coach for 5 years and specialize in working with people who want to expand their knowledge of the body and how it moves.
What are your prices, or price ranges?
Examples: $100, $200, $300 or $100-250, $200-400
File Upload

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One Year Of Directory Space

For as little as $10 a month, you open your market to the whole Kinetic House Family searching for Practitioners like you.

$120.00

Subtotal

Tax

Total

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