LoveStrong Team Member Info

Name *

First

Last

Credentials to be listed after your name:

Date of Birth

Preferred Method of Communication

Phone

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone

Business Name

Business Contact Info (email, phone, website)

Social Media Used for Business

Social Media Handles

Preferred Method for Clients to Contact You (List in order from first to last choice: online booking, email, text, phone).

How would you prefer colleagues contact you?

Personal Info
Business Info
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Do you have other contact preferences?

Expected Days/Hours of Operation

Do you provide superbills?

Hobbies, family, etc.

What are some of your favorite things (food, restaurants, stores, etc.)?

Anything else you'd like to share:

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