Your Soul Contract Decoded
Hello fellow seeker ... I'm looking forward to connecting and offering guidance on your soul's journey. A few questions below so we can begin.

IT IS IMPORTANT that you list your birth-name EXACTLY as it's written on your birth certificate. I ask that you double-check your certificate because very often people don't even know they've been using a different spelling their entire life (this happens more often than you would think).

If you were born in the United States, please fill out all the questions below.

If you were born in an English speaking country, but the last name comes first, list it that way below.

If you were born anywhere other than the U.S., please contact me directly before filling out this form as I will have additional questions: gelie25@gmail.com

Thank you!
Current Name *
Used from what age (ie: from birth would be 0, or you got married at 27 and/or you legally changed your name at 18) *
Birth Name (don't forget to include your middle name if you have one). Double-check your birth certificate. Many clients don't realize their birth certificate name is spelled differently, etc. Thank you! *
Birth Date *
MM
/
DD
/
YYYY
Email *
Mobile Number *
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