Contact information
Interested in a reading or astrology chart? Are you attending an event I am at or have you booked a reading? Please feel out the contact form to the best of your knowledge. Accurate birth time is important but if you do not know the exact birth time please put "guesstimate" so I am aware it is not precise.
I am here because....
Clear selection
Please list your full name (If requesting a reading please list your preference of dates and times and I will email you the current availability.) *
Email *
Meetings will be virtual and recorded using google meets. A link will be sent to you with a calendar invite once this form has been completed. Please give 24hrs for a response on M-F and 48 hrs if responding on a weekend.
If you are attending an event list which event I can expect to see you at so I have your free gift ready!
Booking a reading? Available times are (Monday between 5-8pm) (Tuesday/Thursday at 730 or 8:30pm) Saturday and Sunday between 2-6pm) These times are subject to change.
Birthday *
MM
/
DD
/
YYYY
Birth time
Time
:
Is your birth time known, unknow, or a guess?
Clear selection
Birth location (City, state, country)
For the purpose of some charts your location (moved or are traveling) on your most recent or approaching birthday is needed if different from your birth location. (City, state, country)
Husband / Wife - Birth information to best of knowledge
Children - Birth inform to best of knowledge
Children - Birth inform to best of knowledge
Children - Birth inform to best of knowledge
Please list here any information you are wanting to get out of your reading. Example: Work, love, family, social life, hopes & dreams, goals, health etc.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy