Mentorship Application Form

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Applying to work with Momo in a Mentorship Container.

Email *

Which mentorship container are you applying for? *

3 Month container ($16,665 PIF or $6110/mo)

6 Month container ($33,330 PIF or $6110/mo)

What are your intentions for applying for this container? *

Are you familiar with Human Design? *

I have no idea what Human Design is.

I have heard of Human Design.

I know my Design type, but that's about it.

I have started my de-conditioning journey.

I am deep in my de-conditioning and my Human Design experiment.

Are you familiar with Gene Keys? *

I have no idea what Gene Keys is.

I have heard of Gene Keys.

I've gotten a free profile and looked over it, but that's about it.

I have read through some or all of my Gene Key's in my profile.

I have taken one or more of the Gene Keys course from Richard Rudd.

I have gone through the Activation, Venus, and Pearl sequence Courses.

Have you had any other energy work, healing work done before? And if so what and when did you try it and how was your experience? *

Do you believe that you co-create your own reality? *

Yes. I know and live by this belief.

Sometimes I do and sometimes I don't.

I want to believe this fully but I’m not quite there yet.

I can’t really wrap my mind around this, to be honest.

No. I don’t believe I have any power over my life and my experiences.

Are you willing to leave your ego, your mental agendas and expectations behind and let your inner being take the lead? *

Yes. I’m open and willing.

No. I’m not open and willing.

Please enter your birth date. *

YYYY

Please enter your birth time.

Keep in mind the more accurate your birth time the more accurate your chart will be for me to work with.

Time

Please enter your birth city and country. *

Which payment option do you prefer? *

Pay in Full

Monthly Payment Plan

Send me a copy of my responses.

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