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Practitioner Application
This event is
FOR SEX WORKERS ONLY
. Please don’t apply unless you identify as a current or former sex worker.
1.
Name
2.
Email + Phone Number
3.
Please tell us a little about yourself and how you heard about us
4.
Please tell us about the service you would like to provide
5.
Please tell us what, if any, accommodations you would need for the service you are providing (classroom, private space, massage table, running water, etc.)
6.
Disability / Accessibility / Childcare Needs
7.
Emergency Contact Name
8.
Emergency Contact Phone Number