My Healing Reservation Request
Please answer each question completely. Be sure to click the submit button at the bottom of the form to ensure your responses are received.
My Info
First & Last Name *
Mailing Address *
Phone # *
Email *
Date of Birth *
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What is your goal for seeking mentorship at this time? *
What session(s) do you desire to begin? *
Requested start date for sessions
Please understand your requested start date will be honored according to my schedule availability to avoid any scheduling conflicts. Also, I ask that you factor in the time it will take for me to build your workbook and ship it to you (approximately 2 weeks), when selecting your requested start date. I will do my best to schedule your sessions as requested, or as close to your requested date and time as possible. Thank you for your understanding.
My requested start date for my sessions *
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Mentoring sessions meet once a week. Please select your preferred day.
Preferred day of the Week *
Requested time of day for your sessions: *
I have a question... *
How did you hear about me? *
I will contact you via email to confirm a date and time to call you in reference to the information you have provided. I will also share with you more information about the mentoring process and answer any questions you may have. What is the best time to call you? *
Time
:
Please select your time zone. *
Memo
Thank you for completing your reservation request!
Please review your responses prior to clicking the submit button to ensure all of your information is correct. You will be contacted within 48 hours concerning your next steps. Blessings, peace, light & love to you💜
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