Spa-Go’s Provider Registration Phone 213-258-8191 Email: [email protected] Serving California, Utah, Nevada & Arizona 1. Name: 2. Address 3. City, State and Zip Code: City State / Province / Region ZIP / Postal Code 4. Phone No.:Ok to text? YES OR NO Yes No 5. Email: 6. Auto Details:1. Make 2. Model 3. Year 4. Color 5. License 6. Plate: 7. Payroll Method: Venmo Cash App Zelle or By Check - if so list handle or account name and number and routing number of your bank for weekly pay. 8. Licensed Trade (s) You Can Perform: 9. Licensed with what Board? and your license number: (attach picture of your license please)Max. file size: 100 MB.10. Have you had any disciplinary issues at any time with your professional license? 11. Driver’s License: License No Here: (attach picture please)Max. file size: 100 MB.12. Insurance: Auto and Professional Liability (please attach after adding us as an additionally insured by asking your insurance company to process – these are usually free for asking) ask registration upon your approval and follow the instructions on the hand-out.Max. file size: 100 MB.13. List of Services with Pricing (If you have photos and descriptions or a menu – you can attach it)Name of Item Of ServiceYour Expected Price 14. Your Minimum House Call Sales Amount: $ 15. Your Required Travel Fees:Your Location To City:SelectMalibuBeach Areas – South BayWestlake VillageCalabasasAgouraDowntown LACentral LASouth LAEast LAPasadenaLong BeachWoodland HillsTarzanaEncinoSherman OaksStudio CityVentura CountyRiverside CountySan Bernardino CountyOrange CountyInland EmpireBrentwood, Bel AirPalisadesSanta ClaritaNorthridgeWest HollywoodHollywoodBeverly HillsInglewoodSan Diego CountyPalm SpringsPalmdale or LancasterSylmarGranada HillsVan NuysGlendale, La Crescenta, La Canada, TujungaManhattan BeachOther Area You Travel To?Cost 16. Any arrests and convictions for any felonies, or child sex abuse, adult sexual assault, fraud, elder crimes, theft, robbery, or burglary; or crimes against children. Don’t detail it here. Please have a conversation with our registration department – we value your privacy.17. Special awards awards, certificates, accomplishments, talents, and abilities? Tell us all about what you do to make you your best. Maybe we can consider fitting it into our vast offeringsDo you feel you need help with 1. Organization? 2. Esteem? 3. Training? 4. Networking and forming friendships? 5. Motivation? 6. Feeling Appreciated? 7. Financial “I need more money!” 8. Childcare or other person care while you are at work? 9. Food or Health Care? 10. Professional Equipment? 11. Professional Attire? 12. Reminders? Are you forgetful? 13. End of the year tax and record keeping? 14. Automobile or Transportation? 15. Online organization and safety of your own private file for your business needs and photos separated from your personal life, tax papers, copy of your licenses – your “professional vault”? 16. Credit card processing for your private clientele with our group system? 17. Contracts and Menu of Services designed for your private clientele? 18. Professional Photos? 19. Learning to Upsell Your Client? 20. Learning to get that rebooking? 21. Learning about how to work with special needs individuals, the diabetic, Alzheimer, dementia, hospice, covid survivors, pregnancy, new mom, autism, trauma recovery or those under house arrest and others? 22. Would you like an agency to handle all the things you don’t want to do so you can spend more time working on the things you love to do and have more time with your family? 23. Do you want to be recognized by professional peers who do what you do? 24. Would you like to meet friends and associates striving to meet the same goals you are? 25. Would you like to connect with other professionals that may have other job leads and growth opportunities? 26. Do you see yourself being your own boss and can self-lead yourself to this level? 27. Are you a dynamic individual looking to work with other dynamic individuals and exciting clients? 28. Do you feel you are on top of your game and just need representation, advertising, and marketing? 29. Would you like someone to answer your calls for you and book your appointments for you? Be YOUR own personal assistant? 30. If you look at your answers above, you will know if this is the right path forward for you. We want to build and belong to an inner circle of like-minded professionals so that we can learn, grown and prosper at a higher level, a higher energy frequency and have a more fulfilling connected life. 31. Would you like to be part of an inner circle of success with monthly live group support and monthly motivational guidance? 32. Is your top concern: Money Job Satisfaction Being Part Of A Group Reaching A Higher Level Clientele? 33. Tell us briefly a little bit about you and why you feel you would be a good match and wish to add yourself to our umbrella of providers:34. What do you feel your best assets are and what can you offer to the others?35. Anything else you would like to add?36. Are you vaccinated? Yes No FileMax. file size: 100 MB.PhoneThis field is for validation purposes and should be left unchanged.