Couples Impact Frequency Session Request Form

In this session, Mas will work with couples, addressing energetic patterns that may be hindering the full potential of their relationships. Experience a profound shift that opens the door to a deeper connection and a love that transcends challenges.

Both parties must be present, and able to sit at the same computer (Zoom) screen, no cell phone or tablets.

Duration: 5+ minute couples session, total program approx. 60 minutes

Connection: Public Zoom Meeting/YouTube (Audio & Visual)

Replay: Replay on YouTube

Cost: $250 per couple

*These sessions will be live-streamed and shared publicly on social media

Privacy Policy & Terms & Conditions

Participant 1 *

First NameLast Name

Email*

example@example.com

Participant 1: I certify that I am 18 years or older.*

Yes

Participant 1: **Have you participated in an Impact Session before?*

YesNo

Participant 1: Do you agree to have your session shared publicly?*

YesNo (If no, please close this form and select a private session)

Participant 1: I have read and agree to the Privacy Policy and Terms & Conditions (links above)*

Yes

Participant 2: *

First NameLast Name

Participant 2: Email

example@example.com

Participant 2: I certify that I am 18 years or older.*

Yes

Participant 2: **Have you participated in an Impact Session before?*

YesNo

Participant 2: Do you agree to have your session shared publicly?*

YesNo (If no, please close this form and select a private session)

Participant 2: I have read and agree to the Privacy Policy and Terms & Conditions (links above)*

Yes

Comments:

0/100

*Those who have already experienced an Impact Session may not be eligible to schedule another session.

Impact Frequency Session Request for Couples