Intention Beads Workshop Registration
So excited to meet you at the upcoming Workshop! Our astrologer, Sandy Rueve, will be going over your astrological chart, so we must collect your birth information below (birth: month, day, time, year, location). If you have friends that are attending the same event, make sure that they register their info here as well!

Until we see you, here are a few ways to keep in touch:

SOCIAL MEDIA//WEBSITE
Facebook: www.facebook.com/intentionbeads
Instagram: www.instagram.com/intention_beads // Tag us @intention_beads
Website: www.intentionbeads.com
Podcast: https://itunes.apple.com/us/podcast/astrological-intentions/id1413036335?mt=2

Email address *
Required Information:
First Name *
This does not need to be your birth name, but the name that you'd like us to address you with!
Your answer
Last Name *
Your answer
Cellphone number: *
*If we need to update you last minute or call you for the radio reading, please provide your number with the area code!
Your answer
Birth Date *
**Make sure you double check the year- we have been receiving lots of 2019-ers!
MM
/
DD
/
YYYY
Birth Time *
Must be as accurate as possible- down to the minute. Double check your birth certificate, or call mom! Use the "~" symbol first if you are guessing!
Time
:
Birth Location *
(City, State, Country) *where you were born, NOT where you live currently!
Your answer
Where are you currently living? *
(city, state, country)
Your answer
Which Workshop are you registering for? *
PODCAST/UNCOVERED RADIO GUESTS: Please ask your question for Sandy here!
Your answer
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