Private Facilitation Intake Form
If you would like Shine to facilitate a private experience for you and/or your group, such as a private breathwork ceremony, sound healing journey or tailored workshop, 1:1 sessions or consultations, please fill out this form. If you need immediate assistance please text or call (928) 963-4553‬
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Email *
Your Name *
Your Business Name (if applicable)
Your Phone Number *
What type of tailored experience are you interested in booking? Please be specific (ie: group event: breathwork, sound healing, a workshop (please let us know topic), individual healing sessions (reiki, energy balancing, cellular reset) or individual consultations (akashic record readings, Angel/Oracle/Tarot reading, Human design session, Emotional wellbeing counseling)? *
Please let us know the specific date and time you would ideally like to book a tailored experience?  *
Are you firm or flexible on dates? If flexible, please let us know alternative dates.  *
Approximately how many people is this private experience for? *
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