Entry Form for a Soul Care Session
For Parents of Special Needs Children
To participate, you must be the parent or legal guardian of a child with special or high needs. Please be aware that both your energy and your child's energy will be accessed during the session for healing and guidance.
Parent/Caregiver's Name
First Name
Last Name
Child's Name
First Name
Parent/Caregiver's Email
example@example.com
Please describe any known or suspected conditions your child may have:
Areas of Concern You'd Like to Explore:
Content to stay on the list, your name will stay on the list that is drawn from every month if you choose Yes.
Yes
No
Enter to Receive a Free Healing Session
Should be Empty: