Find a Hypnotist - Practitioner Registration Form

Full Names

Surname

Name of Practice

Business Address

Business Phone Number

Preferred Contact Number

Business E-Mail Address

Website Address

Facebook Link

Instagram Link

Twitter Link

LinkedIn Link

WhatsApp Number

Training Institution

Hypnosis Qualification

Biography (Write a short biography about you and your business)

POPI Act Disclaimer: I acknowledge that this contact form contains personal information as defined in the Protection of Personal Information Act, 2013 (the “Act”). By submitting the form, I consent to the processing of my personal information in accordance with the requirements of the Act. I acknowledge that such personal information, including photographs, may be displayed on the Find a Hypnotist website for listing purposes. I acknowledge I cannot unreasonably withhold my consent. I acknowledge that the purpose for processing my personal information is in terms of this application.

Point 1

Please email a colour portrait photo of yourself in jpeg or png format to tallhorse@findahypnotist.co.za

Point 2

Being listed on Find a Hypnotist is free, however, contributions in the form of hypnosis or hypnotherapy information that we can place on our blog will be most welcome. You will be credited as the author/contributor

Point 3

The administrators of Find a Hypnotist reserve the right to refuse to list any applicant or remove a listed practitioner should it become necessary to do so

Point 4

Please ensure that you are logged in before copying the URL’s for your social media links