IN2IT Full Moon Cypher Registration
Please fill out the registration form below to ensure this is an appropriate gathering for you.
First Name *
Last Name *
Email Address *
Phone Number *
Gender *
Website or Social Media Link (specify if you do not have) *
Natal Chart
Your astrological chart maps out the positioning of the major celestial bodies when you were born. We will provide a basic natal chart to you for the healing cypher.
Date of Birth *
MM
/
DD
/
YYYY
Time of Birth (if you know the exact time)
Time
:
Location of Birth (City, State, Country) *
* SACRED SPACE * Please note that in order to create a sacred healing space for people of original wisdom (black people), this space is held exclusively for people of Afrakan heritage.
Are you of Afrakan (African) ascent? *
What is your ethnicity?
Have you attended a Sacred Womb Full Moon Circle or IN2IT Healing Cypher in the past? *
When did you attend?
MM
/
DD
/
YYYY
How did you find out about this gathering? *
Why are you interested in attending this Healing Cypher? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy