Waxing AstroLogic

Booking Form

After submitting your completed form you'll be directed to make a payment for the agreed upon fee.

All information submitted will remain completely confidential.

CLIENT DATA

First Name

Last Name

Preferred Pronouns

Phone

Sign me up for illuminating musings!

Current Address

Date of Birth

Time of Birth

Birth Location

Briefly describe any noteable circumstances about your birth. For example; cesarean delivery, induction, medical problems, pre-mature, past due date, home-birth, water-birth, etc. Or state "unknown".

1. Important Event / Moment

2. Important Event / Moment

3. Important Event / Moment

What made it so?

Is there an area of life you'd like to focus on? Love, health, family, money, career...

Is there anything else you'd like me to know before our session? You can be honest. It's completely confidential.

Please understand that your consultation is for informational purposes only; does not constitute and is not a substitute for professional advice; neither medical, psychological, financial, personal, or in any other way. Always seek the advice of a licensed professional provider with any questions you may have 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 interpretations 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!