2025 Wood Snake VIP Love Seat Submission
Submission Deadline Reminder:
All submissions must be completed by January 15, 2025 to be included in the live event.
Sign in to Google to save your progress. Learn more
First and Last Name *
Phone Number *
Email Address *
Date and Time of Birth *
(If you know your time of birth)
What is the main issue or goal you’d like to achieve during the Wood Snake year? *
Are you planning on attending this event LIVE? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of 5 Elements Group.

Does this form look suspicious? Report