Team Profile

Hi there team member! Please use this form to send in your profile and personal information OR update your current information if you've made a change. The information that will be used on your online profile is clearly noted here; all other information will remain confidential.

Please complete the form below

Name

First Name

Last Name

Pronouns

(Included in online profile)

Phone

(###)

###

####

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date Of Birth

MM

DD

YYYY

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Inspirational Quote

(Included in online profile – This helps our clients get to know you a little more! Choose something short that communicates your vibe or what has heart and meaning to you.)

NC LMBT License #

(Included in online profile)

Your bio (take a peek at our current member bios on the website if it's useful!):

(Included in online profile – Please list any applicable links.)

Link to your profile photo:

(Included in online profile – If you don't have a profile photo online, please email one directly to melinda@durhambodywork.com)

http://