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General Astrology Readings - Intake

For full Astrology Readings
Client Information
Your Name*

First NameLast Name
E-mail Address*
Address*

Street Address

Street Address Line 2

CityProvince / State

Postal / Zip CodeCountry
Phone Number

Country CodeArea CodePhone Number
BIRTH DATE*

MonthDayYear
TIME OF BIRTH*

:HourMinutesAM/PM Option
PLACE OF BIRTH*
SEX*

MALEFEMALEINTERSEX
SOURCE OF BIRTH DATA*
If you selected other, please elaborate:

Intention ~ Sankalpa for Reading
Have you ever had a Vedic Astrology Reading Before? If so, with whom? When (approx)?
What spiritual or religious practices do you follow (if any)?*
What questions do you have for this reading?*
Please select a random number between 1-108*

For this next section, I'd like you to list the key dates and descriptions of 3-5 major life events. This information is helpful for me lining up the events to dates in the horoscope. You can choose these at random, examples include (but not limited to) marriage/divorce, children born, school graduation, major moves, job start, etc.

This helps me to align Vimshottari and other dasha systems, allowing me to fine tune things a bit.
Life Event #1 Date

MonthDayYear
Date
Life Event #1 Description
Life Event #2 Date

MonthDayYear
Date
Life Event #2 Description
Life Event #3 Date

MonthDayYear
Date
Life Event #3 Description
Any other pertinent life events you'd like to share?

TERMS AND CONDITIONS

Please read carefully
GENERAL DISCLAIMER

I understand that if I request elements of Vedic Life coaching from Joey Bujold (employee of Ancient Traditions – Ayurveda Services of Canada Corp. ~ henceforth “the organization”) that include Spiritual Coaching through the use of astrological components, the information and astrological interpretations received are not meant for diagnosis and treatment, and are primarily intended as tools for self-analysis, and thereby are for informational and entertainment purposes only. I agree that by purchasing these services, I hereby take full responsibility for any and all consequences for my actions, acted upon in my own free will, utilizing the information provided within the consultation from the organization and its practitioners. I hereby agree to fully release the organization from any and all liability with regard to any advice obtained through these means.

The organization in no way suggests infallibility where astrological forecasts are concerned and therefore rescinds liability for any personal, business or health decision. For questions of a medical nature, please consult a doctor or licensed medical professional. Financial or speculative queries should be referred to expert financial advisors.

PRIVACY AND CONFIDENTIALITY

All information that you provide to me will be kept strictly confidential. I will never share your contact information or identity with any third party. At times I use anonymous example horoscopes for the purposes of teaching or lecturing - but I will never use your chart publicly as an example unless I have your express consent in writing to do so.

PAYMENT, CANCELLATION POLICY AND REFUNDS

Payment is due upon booking the appointment unless otherwise specified. Once payment is received, I will reach out to you and book an appointment date and time that is mutually agreable.

Any missed appointments are not refundable. In fairness to other clientele, as a best practice I am asking for 48 hours notice prior to rescheduling or cancelling.

I stand behind the quality of my work and adherence to ethics. If you are not satisfied with the quality of my work, I will honor all refund requests in full, PRIOR to the final reading date, provided they adhere to the cancellation policy above. Any refund requests made AFTER the reading date will not be entertained. Thanks for your understanding.

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General Natal Astro Reading$168.00

60-minute session

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General Astrology Readings - Intake

Client Information

Intention ~ Sankalpa for Reading

TERMS AND CONDITIONS