Fill out the form below to submit a practitioner. After submission your entry will wait for the approval from an administrator before going live.

You may leave some fields blank if they do not apply to you.

eg. John Doe

Optimal image proportions 160px x 160px. (Image size must be under 2mb)

eg. The Liquid Crystals

(Please tell us about yourself in this section)

eg. 0459 038 856 or 5583 5948


(Please Specify if you have any other qualifications you would like to tell us about)

(Please Specify if you have completed any other TLC Courses)

(Enter your soul crystal here) eg. Agate Botswana

(Enter your city here)

(Please select a state)

(Enter your country here)