Closing/Rebirth Ceremony Booking Form

Closing/Rebirth Ceremony

Booking Form
Name *

First Name Last Name
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Do you have any food aversions/allergies/intolerances? *

Yes No
If yes to above, please let me know what you are avoiding as I will serve you a heart opening elixir before we begin:
Are you ok with the use of herbal smoke clearing/essential oil clearing sprays? *

Yes No
Tell me briefly about the closing/rebirth you are honouring:
It can also be beautiful to have some photographic memories of the closing ceremony (while you are wrapped up). I seldom take photos as I am deeply 'in' the work, however in case the opportunity arises, please let me know if you give permission for me to take some photos of this, whether you are happy for them to be used in my social media (instagram) and if so, whether you would prefer them to be kept anonymous. *

I consent to photos being taken and to them being shared on social media with me being tagged I consent to photos being taken and to them being shared on social media but would like to be anonymous I consent to photos being taken but not shared on social media - please send them to me I do not consent to photos being taken
Preferred payment method (exchange is $350 AUD) *

Direct deposit (details sent with booking confirmation) PayPal (invoice sent with booking confirmation) Cash on the day
Which day would you prefer?

Sunday morning Sunday afternoon Monday morning Monday afternoon
Is there anything else you would like me to know?
If you need to cancel please provide minimum 48 hour notice or a $50 cancellation fee will be required.
Should be Empty:

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Closing/Rebirth Ceremony

If you need to cancel please provide minimum 48 hour notice or a $50 cancellation fee will be required.