Waxing AstroLogic

Booking Form

After submitting your completed form you'll be directed to the booking calendar to select your appointment date and time.

All information submitted will forever and always remain completely confidential.

CLIENT DATA

First Name

Last Name

Preferred Pronouns

Phone

Sign me up for illuminating musings!

Current Address

BIRTH DATA

Date of Birth

Time of Birth

Birth Location

1. Important Event / Moment

2. Important Event / Moment

3. Important Event / Moment

What made it so?

What do you hope to get out of our session together? Why now?

Is there an area of life you'd like to focus on?

Is there anything else you'd like me to know before our session?

Please understand that your consultation is for informational purposes only; does not constitute and is not a substitute for professional advice regarding physical or mental health, business or finance, or interpersonal relationships. Always seek the advice of a professional or other qualified and liscensed provider regarding such issues of concern. By checking this box, you agree to take full responsibility for any and all decisions and outcomes that may derive from information shared in this session.

I understand and agree.

Booking Form

Sign up for your free
illuminating musings!

© WaxingAstroLogic 2023

Booking Form

Sign up for your free illuminating musings!

Sign up for your free
illuminating musings!