fbpx

“Time is only crucial when you are living outside of the present moment.”

-Laura C. Cantu

INTAKE FORM

Please fill out the form below at least one day before your appointment.

Thank You

Initial Consultation
This information is required for our quantum technologies to identify your specific energy signatures & to ensure the frequency attunements reach the correct person.
Gender
This information is required for our quantum technologies to identify your specific energy signatures & to ensure the frequency attunements reach the correct person.
May we text? *
Meeting Platforms *
Which platforms are you able to use for meetings? Please check all that apply.
List up to 5 affirmations you want to embed in your session. If you leave blank, no affirmations will be used.
What would you like to focus on during this coaching session?
Terms and Conditions *
Coaching Agreement *
Radio Buttons