Request edit access
Gem & Jam, 2018 Healers Application
Greetings! If you are a massage therapist, bodyworker, energy healer, counselor or other kind of healer, and would like to join us at Gem & Jam, please fill out this form. This is for healing sessions only, not workshops or yoga. (Please apply on appropriate form.)

** There will be a flat rate for healers to offer their services, attend the festival and camp at the festival in General Camping. We will provide you with a reception area and comfortable space in the Rising Nomads Healing Oasis. During the festival, you will be responsible for collecting your own money from paying clients. **

We have 12 positions only for the Oasis this year. We will contact you soon! ~ Thank you!

Email address
Legal Name
Your answer
Name you go by
Your answer
Phone #
Your answer
Website
Your answer
Street Address
Your answer
City, State, Zip
Your answer
Where were you certified. Can you provide proof?
Your answer
Do you have insurance?
What type of healing will you offer
Your answer
Do you have your own massage Table or setup
Required
Will you share your Massage Table/Setup
Please give details about what you offer, who you are and where you practice
Your answer
What is your usual fee and how long is the treatment
Your answer
Do you have your own pop-up canopy with WHITE/CREAM roof/walls or Bell Tent?
Your answer
Are you willing to work a 6 hour shift each day?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms