Sexology Session Waiver

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Thank you for expressing interest in booking an Astrology Reading by me.

Once I receive your form, I will contact you via email within 2-3 business days to coordinate your booking. If you don't hear from me after 5 days, please check your email's junk/spam folder.
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Your name* This field is required.
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Reading type* This field is required.
For me - $145
For someone else - $145
For me (mini reading) - $50
For someone else (mini reading) - $50
For me and someone else (synastry reading) - $195
For two other people (synastry reading) - $195
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Name of person getting reading - pronouns - date of birth - time of birth - birth location (if you don't have this information, I can get it at another time)e.g. Margot (she/her) 1/28/1998 10:25am Los Angeles, CA
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SYNASTRY READINGS ONLY - Name of second person - pronouns - date of birth - time of birth - birth location (if you don't have this information, I can get it at another time)e.g. Michael (he/him) 6/12/1989 6:55pm Ann Arbor, MI
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FULL READINGS & SYNASTRY ONLY - what topics are you interested in gaining insight on?Please select the three most important topics. Plenty of things will stand out to me, but I will dive deeper into these areas. If you are booking a reading for someone else, skip this step and I will chat with them before.
Identity//self-discovery
Life purpose//mission
Family
Friends
Dating//relationships
Career//money
Spirituality
Health
Art//hobbies//creativity
Navigating grief//loss
Sex//taboo//shadow work
Home life//living situation//community
Travel
Pleasure//leisure
Other
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MINI READINGS ONLY - what are TWO specific questions you have about your life or insights that you want to gain?The more specific the question the better. e.g. "I want to quit my job this summer, is it good or bad timing?" "I want to launch an artistic project but want to know when I should do it for best visibility." "I'm trying to call in a life partner, what does my dating and relationship forecast look like?" "I am dying to move, but not sure when it makes sense to do." "How am I going to survive this Venus retrograde?" "What is going to come up for me during Mercury retrograde?" "I'm going through a hard time emotionally, when is it going to get better?" "I'm having health issues, when is it going to improve?"
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I understand that these readings may include discussions and topics that can be triggering and may be at times intense and/or challenging. I understand and agree that by purchasing this reading for another person, I am putting them in this position on their behalf.* This field is required.
I agree
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I understand that all information shared and received during this reading is confidential and will not be shared with anyone, without the expressed permission of both myself and Gloria.* This field is required.
I agree
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I understand and agree that I or my giftee will not be scheduled on the calendar for a reading until I pay in full.* This field is required.
I agree
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I understand that Astrology readings with Lucid Respells are non-refundable.* This field is required.
I agree
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I understand that Astrology readings with Lucid Respells must be cancelled or rescheduled with more than 48 hours notice, otherwise I will not be refunded.* This field is required.
I agree
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Email* This field is required.
example@example.com
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Signature* This field is required.
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Today's date* This field is required.
Date
Day
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