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Let's get to know each other a little more before we embark on this HEALING journey together!

Full Name (First, Middle and Last Name)*

Email Address*


Mailing Address*

Birth Details (Date, Time and Location)*

What Interests You about Shamanic Journeying?*

What journey would you like to take?*

What kind of transformation are you looking to experience through this process?*

Occupation, Relationship and Family Status*

Do you have a spiritual foundation in your life?*

Please describe your spiritual foundation.*

Are you currently working in a shamanic or mediumistic tradition?*

What life questions are you sitting with?*

In your own words, please tell me what is happening in your life?*

What challenges you are experiencing? *

What are your preference for appointment times and/or days?*

Would you like to be added to our email list?*

Referred By*

Payment Method*

Once you submit your application Form kindly continue to payment to complete your registration unless you are paying cash. Cash is preferred.  

Both application and payment are required. And, if you haven't done so already get to know us HERE!

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