IN2IT Full Moon Cypher Registration

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Please fill out the registration form below to ensure this is an appropriate gathering for you.

First Name *

Last Name *

Email Address *

Phone Number *

Gender *

Female

Male

Prefer not to say

Website or Social Media Link (specify if you do not have) *

Natal Chart

Your astrological chart maps out the positioning of the major celestial bodies when you were born. We will provide a basic natal chart to you for the healing cypher.

Date of Birth *

شهر

YYYY

Time of Birth (if you know the exact time)

الوقت

Location of Birth (City, State, Country) *

* SACRED SPACE * Please note that in order to create a sacred healing space for people of original wisdom (black people), this space is held exclusively for people of Afrakan heritage.

Are you of Afrakan (African) ascent? *

Yes

Maybe

What is your ethnicity?

Have you attended a Sacred Womb Full Moon Circle or IN2IT Healing Cypher in the past? *

Yes

When did you attend?

شهر

YYYY

How did you find out about this gathering? *

Why are you interested in attending this Healing Cypher? *

إرسال

محو النموذج

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نماذج