Application for Services
Tell us more about what services you need from Starr
Email address *
Name *
Your answer
Location & Time Zone *
Your answer
What type of session are you seeking
Preferred method of communication
Telephone number or Skype name if needed
Your answer
Appointment preferences, if any
All appointments subject to Starr's schedule and availability
Start Date
MM
/
DD
/
YYYY
End Date (if applicable)
MM
/
DD
/
YYYY
Is there anything else you would like Starr to know
Your answer
If seeking a long distance healing session
Please send an email to info@starrfuentes.com with the healee's full name, date of birth and a photo (preferably recent). Allow a few weeks for a response from Starr for this service.
What needs healing
Your answer
If seeking private tutoring
What is the extent of your training and what are you seeking further training in
Your answer
What method do you prefer to pay for your services received
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.